JAY T ELLIS, PT, DPT, CSCS

Contractor

Active Individual
NPI: 1811924012

Practice Address

3100 S WOODRUFF AVE
Idaho Falls, ID 83404

Phone: (208) 523-8879

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes RPT231 (ID)

Frequently Asked Questions

NPI 1811924012 is the National Provider Identifier for JAY T ELLIS, PT, DPT, CSCS, a Contractor provider located in Idaho Falls, ID. This NPI was enumerated on June 26, 2006.
JAY T ELLIS, PT, DPT, CSCS practices at 3100 S WOODRUFF AVE, Idaho Falls, ID 83404.

Quick Facts

NPI
1811924012
Type
Individual
Enumerated
Jun 26, 2006
Last Updated
Mar 4, 2011

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