Search › Pennsylvania › Athletic Trainer
Eric Ellis, MS, LAT, ATC
NPI 1154741692 · on the registry since 2014 · sole proprietor
Practice
- Address
- 414 Bryan St
Havertown, PA 19083 - Phone
- (484) 680-6341
- Fax
- (610) 359-1686
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-23
- Status
- Not present in the most recent federal file
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 Pennsylvania