Individual provider · Type 1 NPI

Tracy Ellis

Rehabilitation Practitioner · Culver City, CA

NPI number 1326292707 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Fax (310) 840-7023

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1326292707

Tracy Ellis's National Provider Identifier is 1326292707, issued on Nov 11, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Culver City, CA. The record was last updated on Sep 29, 2026.