Individual provider · Type 1 NPI

Jacob Ryan Ellingson, MSPT, SCS, ATC, CSCS

Sports Physical Therapist · Mora, MN

NPI number 1346210432 Active

Practice location

301 Highway 65 S
Mora, MN 55051-1899

Fax (320) 225-3370

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X6749 (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…

96 other providers at this address

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.