Individual provider · Type 1 NPI
Thomas Charles Ellis, DC
Chiropractor · Wilson, OK
NPI number
1700893054
Active
Practice location
122 Mulberry Ln
Wilson, OK 73463-6203
Fax (580) 668-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3267 (OK) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1700893054
Thomas Charles Ellis, DC's National Provider Identifier is 1700893054, issued on Aug 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wilson, OK. The record was last updated on Jun 26, 2014.