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

Ellis Timothy Charles

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1871029314

Ellis Timothy Charles is a Developmentally Disabled Services Day Training Agency in Sheridan, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2017

Practice location Address checks out

511 Gladstone St 511 Gladstone St
Sheridan, WY 82801-4830
Phone: (307) 752-9082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X (WY)

Record details

NPI number1871029314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 3, 2017
Mailing address511 Gladstone St, Sheridan, WY 82801-4830

Other providers in Sheridan