NPI Index

TIMOTHY ELLIS, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1114388303

Practice Address

1200 PROVIDENCE RD
Wayne, NE 68787

Phone: (402) 375-7937

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 54 (NE)

Frequently Asked Questions

NPI 1114388303 is the National Provider Identifier for TIMOTHY ELLIS, ATC, a Specialist/Technologist - Athletic Trainer provider located in Wayne, NE. This NPI was enumerated on March 15, 2016.
TIMOTHY ELLIS, ATC practices at 1200 PROVIDENCE RD, Wayne, NE 68787.

Quick Facts

NPI
1114388303
Type
Individual
Enumerated
Mar 15, 2016
Last Updated
Mar 15, 2016

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