Ellis, Heather Renee
Ellis, Heather Renee is an individual health care provider with primary practice located at 62 Carriage Oaks Dr , Tyrone GA 30290. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ellis, Heather Renee can be contacted via phone (770) 969-7166.Contact Information
Primary practice address
62 Carriage Oaks Dr
Tyrone GA 30290
Phone: (770) 969-7166
Fax: (770) 969-7168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013604 | Georgia |
Profile Details
| NPI number | 1053898759 |
|---|---|
| LBN Legal business name | Ellis, Heather Renee |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2018 |
| Last updated | Aug 22nd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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