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

Trey Carter Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568124733

Trey Carter Ellis is a Student in an Organized Health Care Education/Training Program in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1 University Plz
Youngstown, OH 44555-0001
Phone: (330) 941-3000
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1568124733
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateSeptember 26, 2021
Mailing address1829 Lynn Mar Ave, Poland, OH 44514-1452

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