Individual provider · Type 1 NPI
Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS
Sports Physical Therapist · Mora, MN
Practice location
301 Highway 65 S
Mora, MN 55051-1899
Fax (320) 225-3370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 6749 (MN) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
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About NPI 1346210432
Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS's National Provider Identifier is 1346210432, issued on Jan 23, 2006. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Mora, MN. The record was last updated on Jul 9, 2014.