Individual provider · Type 1 NPI

Kelly Ellis, PTA, LMT

Physical Therapy Assistant · Leesburg, FL

NPI number 1073192126 Active

Practice location

600 W North Blvd
Leesburg, FL 34748-5063

Call (352) 787-9300 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X72444 (FL)
Physical Therapy Assistant Primary 225200000X30011 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1073192126

Kelly Ellis, PTA, LMT's National Provider Identifier is 1073192126, issued on Apr 6, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leesburg, FL. The record was last updated on Apr 6, 2021.