Individual provider · Type 1 NPI
Stacey L. Ellis
Orthotic Fitter · Eureka, CA
NPI number
1285821256
Active
Practice location
2773 Harris St Ste C
Eureka, CA 95503-4866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter Primary | 225000000X | None listed |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
2 other providers at this address
About NPI 1285821256
Stacey L. Ellis's National Provider Identifier is 1285821256, issued on Oct 3, 2007. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Eureka, CA. The record was last updated on Oct 3, 2007.