Search › Oklahoma › 235Z00000X
Tara Ellis, M.S
NPI 1972842532 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1211 S 29th St
Chickasha, OK 73018 - Phone
- (405) 224-0002
- Fax
- (405) 224-0133
- Organisation at this address
- 29th Street Therapy
29th Street Therapy Center
Colette Ellis M.Ed., Ccc-Slp & AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1628 S 15th St, Chickasha, OK
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-25
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 Oklahoma