| Doctor Name: | DANIEL PRESTON ELLIS |
| NPI Number: | 1063893881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 61129 |
| Business Practice Address: | 680 Ivy St Junction City, OR - 974481636 |
| Business Phone Number: | 5419989988 |
| Business Fax Number: | |
| Mailing Address: | 771 River Rd, EUGENE |
| State: | OR |
| Postal Code: | 974043213 |
| Phone Number: | 8025584199 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2015 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 61129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |