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

Michael John Ellis, CTRS

Individual provider Recreation Therapist · NPI 1558244491

Michael John Ellis, CTRS is a Recreation Therapist in Fort Meade, South Dakota. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2025

Practice location Address checks out

113 Comanche Rd
Fort Meade, SD 57741-1002
Phone: (605) 347-2511
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 27699 (SD)

Record details

NPI number1558244491
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorYes
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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