Marquis R Ellis in Johnston - Occupational Therapist

Marquis R Ellis - NPI 1386845071

Marquis R Ellis is a Occupational Therapist in Johnston, Iowa. Marquis R Ellis practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Marquis R Ellis is 1386845071. The last update date is 2007-07-08.

Marquis R Ellis's current location address is 5406 Merle Hay Rd, Johnston, Iowa. You can contact this provider via phone number 5157278750 and fax number 5157278757. The mailing address for Marquis R Ellis is 5406 Merle Hay Rd, Johnston, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Marquis R Ellis
Address 5406 Merle Hay Rd, Johnston, Iowa
Phone Number 5157278750
Fax Number 5157278757
Sole Proprietor N
Credentials OTR-L

NPI Number Detail

NPI Number 1386845071
Provider Enumeration Date 2007-05-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5406 Merle Hay Rd
City Johnston
State Iowa (IA)
Post Code 501311209
Phone Number 5157278750
Fax Number 5157278757

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 905
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
29818 IA WELLMARK BCBS

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FAQs about Marquis R Ellis

What is the Marquis R Ellis's unique identification number?

The Marquis R Ellis has been assigned the NPI (National Provider Identifier) Number 1386845071 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Marquis R Ellis?

The Marquis R Ellis is situated at 5406 Merle Hay Rd, in the city of Johnston, state of IA, with the zip code 501311209.

What is Marquis R Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marquis R Ellis is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.

On what date was the 1386845071 assigned to Marquis R Ellis?

The Marquis R Ellis was issued its 1386845071 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Marquis R Ellis most recently updated or revised?

The information pertaining to Marquis R Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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