Most Relevant Information
Provider Data
| NPI Number: | 1003658568 |
| Provider Name: | NATHAN PATRICK ELLIS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 6412 |
Most Important Dates
| Enumeration Date: | 06/06/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
6823 PONDEROSA WAY
LAS VEGAS
NV
891182100
Practice Location Phone/Fax
| Phone: | 7026654054 |
| Fax: |
Provider Mailing Location
10769 PASTEL SUNSET CT
LAS VEGAS
NV
891351582
Provider Mailing Phone/Fax
| Phone: | 3072314467 |
| Fax: |