| Doctor Name: | MR. DAVID LANCE ELLIS |
| NPI Number: | 1861739252 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 9511 |
| Business Practice Address: | 105 W Stone Dr Ste 1d Kingsport, TN - 376603365 |
| Business Phone Number: | 4235781560 |
| Business Fax Number: | 4233927055 |
| Mailing Address: | Po Box 9, KINGSPORT |
| State: | TN |
| Postal Code: | 376620009 |
| Phone Number: | 4238572066 |
| Fax Number: | 4238572070 |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |