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

Mandie Ellis, DAOM

Individual provider Acupuncturist · NPI 1790433605

Mandie Ellis, DAOM is an Acupuncturist in Glendale, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2022

Practice location Address checks out

1991 Victory Hwy
Glendale, RI 02826-1670
Phone: (401) 710-4207
Show map & directions

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

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence DAOM00088 (RI)

Record details

NPI number1790433605
Entity typeIndividual (Type 1)
GenderFemale
Credentials DAOM
Sole proprietorYes
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address153 Woodstock Ave, Putnam, CT 06260-1429