Search › Georgia › 2255A2300X
Kelly Ellis, ATC, LAT, PTA
NPI 1104226109 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3276 Northside Pkwy Nw Unit 4410
Atlanta, GA 30327 - Phone
- (678) 525-6256
- Organisation at this address
- Dhana Blissett Nutrition Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 9621 Fontainebleau Blvd, Miami, FL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia