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

Staci Gaye Ellis, MSPT

Individual provider Physical Therapist · NPI 1376543884

Staci Gaye Ellis, MSPT is a Physical Therapist in Lakewood, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2005

Practice location Address checks out

7308 Bridgeport Way W Ste 103
Lakewood, WA 98499-8000
Phone: (253) 582-8500
Fax: (253) 582-8160
Show map & directions

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

Additional practice locations (1)

  • 4905 108th St Sw, Lakewood, WA 98499-3724 — (253) 589-0611

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7361 (WA)

Record details

NPI number1376543884
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJune 3, 2019

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