Doctor Name: | MRS. KRIS J ELLINGTON |
NPI Number: | 1295811347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501004107 |
Business Practice Address: | 3200 Biddle St 3rd Fl Wyandotte, MI - 481925937 |
Business Phone Number: | 7343243946 |
Business Fax Number: | |
Mailing Address: | 13947 Perry, RIVERVIEW |
State: | MI |
Postal Code: | 481934568 |
Phone Number: | 7342845994 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501004107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |