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

Tammy Renee Ellis

Individual provider Physical Therapy Assistant · NPI 1104646645

Tammy Renee Ellis is a Physical Therapy Assistant in Chesterfield, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

33875 Kiely Dr
Chesterfield, MI 48047-3604
Phone: (586) 725-6030
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502002187 (MI)

Record details

NPI number1104646645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address3642 Palms Rd, Casco, MI 48064-2103

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