Individual provider · Type 1 NPI
Heidi Lynn Ellwood, MPT
Specialist · Dixon, MO
NPI number
1386766335
Active
Practice location
20270 Harlequin Ln
Dixon, MO 65459-7524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2005019387 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1386766335
Heidi Lynn Ellwood, MPT's National Provider Identifier is 1386766335, issued on Apr 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dixon, MO. The record was last updated on Jul 8, 2007.