Doctor Name: | MRS. MICHELLE C ELLISON |
NPI Number: | 1700968864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P. T. |
License Number: | MS PT0747 |
Business Practice Address: | 665 S Pear Orchard Rd Suite 114 Ridgeland, MS - 391574861 |
Business Phone Number: | 6019561211 |
Business Fax Number: | 6019562282 |
Mailing Address: | 1 Woodgreen Pl, Suite 101 MADISON |
State: | MS |
Postal Code: | 391108161 |
Phone Number: | 6016051126 |
Fax Number: | 6016051891 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | MS PT0747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |