Individual provider · Type 1 NPI
Lisa Gunter Ellis, PT
Pediatric Physical Therapist · Lufkin, TX
Practice location
4101 S Medford Dr
Lufkin, TX 75901-5633
Fax (936) 633-5695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 1165899 (TX) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1275604332
Lisa Gunter Ellis, PT's National Provider Identifier is 1275604332, issued on Nov 12, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lufkin, TX. The record was last updated on Jul 9, 2007.