Most Relevant Information
Provider Data
| NPI Number: | 1003036070 |
| Provider Name: | KATHLEEN MICHELLE ELLIS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 021255-1 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
178 GRANDVIEW DR
COBLESKILL
NY
120435144
Practice Location Phone/Fax
| Phone: | 5182543261 |
| Fax: | 5182543335 |
Provider Mailing Location
372 N GRAND ST
COBLESKILL
NY
120434139
Provider Mailing Phone/Fax
| Phone: | 5182349622 |
| Fax: |