Mrs. Kathleen Michelle Ellis
Physical Therapist
178 Grandview Dr
Cobleskill
, New York 12043-5144
Mrs. Kathleen Michelle Ellis
Physical Therapist
178 Grandview Dr
Cobleskill
, New York 12043-5144
(518) 234-9622
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mrs. Kathleen Michelle Ellis
- 372 N Grand St
- Cobleskill, NY
- Zip : 12043-4139
- Phone : (518) 234-9622
Second Address
- Mrs. Kathleen Michelle Ellis
- 178 Grandview Dr
- Cobleskill, NY
- Zip : 12043-5144
- Fax : (518) 254-3335
- Phone : (518) 254-3261
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 021255-1 | NY |
National Provider Identifier
| NPI | 1003036070 |
|---|---|
| Provider Name | Mrs. Kathleen Michelle Ellis |
| First Address | Cobleskill, NY 12043-4139 |
| Second Address | Cobleskill, NY 12043-5144 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.