TIMOTHY ELLIS

WAYNE, NE
NPI1114388303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE  54)
Enumeration Date2016-03-15
Last Update Date2016-03-15
Business Address
TIMOTHY ELLIS ATC
1200 PROVIDENCE RD
WAYNE, NE 68787-1212
Phone number: 402-375-7937
Mailing Address
TIMOTHY ELLIS ATC
1200 PROVIDENCE RD
WAYNE, NE 68787-1212
Phone number: 402-375-7937
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