Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ELLIS
ActiveSTACEY ELLIS is a Athletic Trainer healthcare provider located in MANASSAS, Virginia. NPI 1669438073 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MANASSAS, VA
Registration Details
- NPI Number
- 1669438073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2006 (20.263178308528 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0126000571 (VA)
Practice Information
- Address
-
9005 TUDOR LNMANASSAS, VA, 201105754Browse VA providers · Browse ZIP 20110
- Phone
- 7032578500
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MANASSAS, VA
| Name | Credential | NPI |
|---|---|---|
| MS. CANDACE S. PARHAM | MS, VATL, ATC | 1760690564 |
| DR. JATIN P AMBEGAONKAR | PHD ATC OT CSCS | 1518270305 |
| REBECCA MASSEY | ATC | 1104162528 |
| ASHLEY AUSBORN | MS | 1417294364 |
| MS. JEANE MARIE RYDER | ATC | 1326385022 |
| CHRISTY BLAYLOCK | ATC | 1710374525 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.