MRS. BETHANY ELLIS, PTA

Specialist

Active Individual
NPI: 1033425806

Practice Address

5545 HIGHWAY 145
Shannon, MS 38868

Phone: (662) 871-6638

Specialties

Specialty Code Primary License
Specialist 174400000X Yes PTA3896 (MS)

Frequently Asked Questions

NPI 1033425806 is the National Provider Identifier for MRS. BETHANY ELLIS, PTA, a Specialist provider located in Shannon, MS. This NPI was enumerated on August 31, 2010.
MRS. BETHANY ELLIS, PTA practices at 5545 HIGHWAY 145, Shannon, MS 38868.

Quick Facts

NPI
1033425806
Type
Individual
Enumerated
Aug 31, 2010
Last Updated
Aug 31, 2010

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