Individual provider · Type 1 NPI

Clayton Kyle Ellis, PTA

Physical Therapy Assistant · Mc Rae, GA

NPI number 1093062317 Active

Practice location

6 E Oak St
Mc Rae, GA 31055-4337

Mailing address

1409 Acton Dr
Vidalia, GA 30474-4306

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA002897 (GA)

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 1093062317

Clayton Kyle Ellis, PTA's National Provider Identifier is 1093062317, issued on Aug 6, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mc Rae, GA. The record was last updated on Aug 6, 2012.