Mrs. Kathleen Marie Ellis, LPTA
Mrs. Kathleen Marie Ellis, LPTA is a Nursing Facility/Intermediate Care Facility in Fenton, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2013
Practice location Address checks out
512 Beach StFenton, MI 48430-3122
Phone: (810) 629-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 5502001225 (MI) |
|---|
Record details
| NPI number | 1346685575 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPTA |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2013 |
| Last updated in NPPES | May 1, 2013 |