1811924012 Jay T Ellis, PT, DPT, CSCS

Contractor

Active

Basic Information

Full Name
Jay T Ellis, PT, DPT, CSCS
Gender
Male
Enumeration Date
June 26, 2006
Last Update
March 4, 2011

Practice Location

Address
3100 S WOODRUFF AVE
IDAHO FALLS, ID 834048310
Phone
(208) 523-8879
Fax
(208) 523-0436

Mailing Address

Address
PO BOX 1463
IDAHO FALLS, ID 834031463
Phone
(208) 523-8879
Fax
(208) 523-0436

Specialties & Taxonomies

Specialty Code Classification License State Primary
Contractor
171W00000X Contractor RPT231 ID Primary

Other Identifiers

Identifier Type State Issuer
316942 01 ID BLUE SHIELD
804274500 05 ID N/A
T0742 01 ID BLUE CROSS OF IDAHO

Frequently Asked Questions

What is Jay T Ellis, PT, DPT, CSCS's NPI number?
Jay T Ellis, PT, DPT, CSCS's NPI number is 1811924012.
Which doctor has NPI number 1811924012?
The doctor with NPI number 1811924012 is Jay T Ellis, PT, DPT, CSCS.
What is Jay T Ellis, PT, DPT, CSCS's practice address?
Jay T Ellis, PT, DPT, CSCS's practice address is 3100 S WOODRUFF AVE, IDAHO FALLS, ID, 834048310.
Which doctor practices at 3100 S WOODRUFF AVE, IDAHO FALLS, ID, 834048310?
Jay T Ellis, PT, DPT, CSCS practices at 3100 S WOODRUFF AVE, IDAHO FALLS, ID, 834048310.
What is Jay T Ellis, PT, DPT, CSCS's mailing address?
Jay T Ellis, PT, DPT, CSCS's mailing address is PO BOX 1463, IDAHO FALLS, ID, 834031463.
What is Jay T Ellis, PT, DPT, CSCS's phone number?
Jay T Ellis, PT, DPT, CSCS's phone number is (208) 523-8879.
Who is (208) 523-8879?
(208) 523-8879 is the phone number for Jay T Ellis, PT, DPT, CSCS.
What is Jay T Ellis, PT, DPT, CSCS's specialty?
Jay T Ellis, PT, DPT, CSCS's specialty is Contractor.
What type of doctor is Jay T Ellis, PT, DPT, CSCS?
Jay T Ellis, PT, DPT, CSCS is a Contractor.
Is Jay T Ellis, PT, DPT, CSCS a Contractor?
Yes, Jay T Ellis, PT, DPT, CSCS is a Contractor.
Is Jay T Ellis, PT, DPT, CSCS still practicing?
Yes, Jay T Ellis, PT, DPT, CSCS is currently practicing.
Is Jay T Ellis, PT, DPT, CSCS accepting new patients?
Jay T Ellis, PT, DPT, CSCS may be accepting new patients. Please call their office at (208) 523-8879 to inquire about availability.
Is NPI 1811924012 still active?
Yes, NPI 1811924012 is currently active.
Where does Jay T Ellis, PT, DPT, CSCS practice?
Jay T Ellis, PT, DPT, CSCS practices in IDAHO FALLS, ID.
Is Jay T Ellis, PT, DPT, CSCS a male or female doctor?
Jay T Ellis, PT, DPT, CSCS is a male doctor.