Gregory John Ellis, L.M.T. Valid NPI

Individual provider · Massage Therapist · York, PA

NPI

1992115208

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MSG007363 (PA)

Sex

Male

Sole proprietor

No

Enumerated

2014-05-08

Last updated

2015-03-31