Individual provider · Type 1 NPI

Lacey Loral Ellis, PT, DPT

Pediatric Physical Therapist · Pelham, AL

NPI number 1639510282 Active

Practice location

2685 Pelham Pkwy, Suite C
Pelham, AL 35124-1354

Fax (205) 621-6507

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XPT26720 (FL)
Pediatric Physical Therapist Primary 2251P0200XPTH6802 (AL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

8 other providers at this address

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About NPI 1639510282

Lacey Loral Ellis, PT, DPT's National Provider Identifier is 1639510282, issued on Jul 11, 2013. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Pelham, AL. The record was last updated on Dec 5, 2013.