Individual provider · Type 1 NPI

Tammy Renee Ellis

Physical Therapy Assistant · Chesterfield, MI

NPI number 1104646645 Active

Practice location

33875 Kiely Dr
Chesterfield, MI 48047-3604

Mailing address

3642 Palms Rd
Casco, MI 48064-2103

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502002187 (MI)

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 1104646645

Tammy Renee Ellis's National Provider Identifier is 1104646645, issued on Oct 10, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chesterfield, MI. The record was last updated on Oct 10, 2024.