Individual provider · Type 1 NPI

Kimberlee Janette Despain Ellison, PT, DPT, C/NDT

Pediatric Physical Therapist · Phoenix, AZ

NPI number 1326441940 Active

Practice location

2302 N 15th Ave
Phoenix, AZ 85007-1201

Call (623) 242-6908 Map

Other practice locations

  • 10811 SE Kent Kangley Rd, Kent, WA 98030-7108 · (253) 854-5660

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT60439302 (WA)
Pediatric Physical Therapist 2251P0200XPT60439302 (WA)
Pediatric Physical Therapist Primary 2251P0200XLPT-30638 (AZ)

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 1326441940

Kimberlee Janette Despain Ellison, PT, DPT, C/NDT's National Provider Identifier is 1326441940, issued on Sep 28, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 29, 2019.