JAY T ELLIS

Dr JAY T ELLIS is a male medical professional, specializing in Physical Therapy. He graduated in 1978.

Contact

3100 S WOODRUFF AVE
IDAHO FALLS
ID
834048310

Tel:

JAY T ELLIS Information

Npi 1811924012
Pac Id 5294876330
Professional Enrollment Id I20100111000778
Last Name ELLIS
First Name JAY
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3100 S WOODRUFF AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834048310
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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