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

Miranda Ellis

Individual provider Athletic Trainer · NPI 1467080317

Miranda Ellis is an Athletic Trainer in Stephenville, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1333 W Washington St
Stephenville, TX 76401-4168
Phone: (254) 968-9000
Show map & directions

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 number1467080317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address10705 Lipan Trl, Fort Worth, TX 76108-6924

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