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

Stacey Ellis

Individual provider Athletic Trainer · NPI 1669438073

Stacey Ellis is an Athletic Trainer in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006

Practice location Address checks out

9005 Tudor Ln
Manassas, VA 20110-5754
Phone: (703) 257-8500
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126000571 (VA)

Record details

NPI number1669438073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJuly 13, 2026
Mailing address110 Township Ct, Stephens City, VA 22655-2962

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