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

Tiffany Ellis

Individual provider Occupational Therapy Assistant · NPI 1609538479

Tiffany Ellis is an Occupational Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

1312 Lang Dr
Saint Louis, MO 63135-3044
Phone: (314) 653-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2011004964 (MO)

Record details

NPI number1609538479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2021
Last updated in NPPESOctober 9, 2021
Certification dateOctober 8, 2021
Mailing address11160 Village North Dr, Saint Louis, MO 63136-6159

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