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

Mr. Gregory Ellis Andes Jr.

Individual provider Physical Therapy Assistant · NPI 1619637808

Mr. Gregory Ellis Andes Jr. is a Physical Therapy Assistant in Galloway, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
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Practice location Address checks out

814 Windy Hill Ln
Galloway, OH 43119-8533
Phone: (567) 204-9564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA011019 (OH)

Record details

NPI number1619637808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 29, 2021
Last updated in NPPESDecember 29, 2021
Certification dateDecember 28, 2021

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