Individual provider · Type 1 NPI
Juliette Rachel Ellis, P.T.
Pediatric Physical Therapist · Glencoe, IL
Practice location
433 Oakdale Ave
Glencoe, IL 60022-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 070008366 (IL) |
| Physical Therapist | 225100000X | 070008366 (IL) |
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…
About NPI 1780879908
Juliette Rachel Ellis, P.T.'s National Provider Identifier is 1780879908, issued on Sep 11, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Glencoe, IL. The record was last updated on Sep 9, 2015.