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

Kelly Ellis

Individual provider Occupational Therapy Assistant · NPI 1760778559

Kelly Ellis is an Occupational Therapy Assistant in Summit, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
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Practice location Address checks out

4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence TA2090 (MS)

Record details

NPI number1760778559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 21, 2011
Mailing address4109 Highway 98 W, Summit, MS 39666-9132

Other providers in Summit