Doctor Name: | JOHN M ELLERBEE |
NPI Number: | 1699018366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 004022 |
Business Practice Address: | 1435 N Expressway Suite 201 Griffin, GA - 302239016 |
Business Phone Number: | 7702274049 |
Business Fax Number: | 7704127009 |
Mailing Address: | 138 Crescent Rd, THOMASTON |
State: | GA |
Postal Code: | 302867457 |
Phone Number: | 7069380953 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |