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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS ELLIS

Active Sole Proprietor

NICHOLAS ELLIS is a Recreation Therapist healthcare provider located in PINELLAS PARK, Florida. NPI 1689387375 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · PINELLAS PARK, FL

Registration Details

NPI Number
1689387375
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2022 (3.6360759517229 yrs)
Last Updated
Dec 28, 2022
Sole Proprietor
Yes

Practice Information

Address
8701 64TH ST N
PINELLAS PARK, FL, 337824704
Browse FL providers · Browse ZIP 33782
Phone
7272047911
Primary Specialty
Recreation Therapist
225800000X
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.