Individual provider · Type 1 NPI

Kathleen Marie Ellis, LPTA

Nursing Facility/Intermediate Care Facility · Fenton, MI

NPI number 1346685575 Active

Practice location

512 Beach St
Fenton, MI 48430-3122

Call (810) 629-4117 Map

Mailing address

11182 E Richfield Rd
Davison, MI 48423-8517

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X5502001225 (MI)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

12 other providers at this address

About NPI 1346685575

Kathleen Marie Ellis, LPTA's National Provider Identifier is 1346685575, issued on May 1, 2013. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Fenton, MI. The record was last updated on May 1, 2013.