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

Wanda Gayle Ellison, LPTA

Individual provider Physical Therapy Assistant · NPI 1467640474

Wanda Gayle Ellison, LPTA is a Physical Therapy Assistant in South Daytona, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

681 Beville Rd
South Daytona, FL 32119-1951
Phone: (800) 330-7711
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 PTA479

Record details

NPI number1467640474
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007

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