Individual provider · Type 1 NPI
Theresa Lynn Ellison
Driver · Warsaw, MO
NPI number
1609673524
Active
Practice location
305 W Jefferson St
Warsaw, MO 65355-3471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1609673524
Theresa Lynn Ellison's National Provider Identifier is 1609673524, issued on Feb 27, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Warsaw, MO. The record was last updated on Feb 27, 2025.