Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellie King

Individual provider Athletic Trainer · NPI 1295438257

Ellie King is an Athletic Trainer in Montgomery, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1932 Lakeside Dr
Montgomery, IL 60538-3041
Phone: (321) 527-8635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1295438257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 26, 2023
Mailing address1932 Lakeside Dr, Montgomery, IL 60538-3041

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