Miss Ellen Elizabeth Klissus, CTRS is a
Recreation Therapist based in Tacoma, Washington. Miss Ellen Elizabeth Klissus is licensed to practice in Washington (license number 80817) and her current practice location is
9600 Veterans Dr Sw Rm 263, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 583-2800.
NPI number for Miss Ellen Elizabeth Klissus is 1831535699 and her current mailing address is 7625 E Karen Ln, Port Orchard, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831535699.
Healthcare Provider's Profile
| Full Name | Miss Ellen Elizabeth Klissus |
|---|
| Gender | Female |
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| Speciality | Recreation Therapist |
|---|
| Location | 9600 Veterans Dr Sw Rm 263, Tacoma, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831535699
- Provider Enumeration Date: 05/20/2013
- Last Update Date: 07/22/2021
Medical Identifiers
Medical identifiers for Miss Ellen Elizabeth Klissus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831535699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA60346418 (Washington) | Secondary |
| 225800000X | Recreation Therapist | 80817 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Ellen Elizabeth Klissus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Ellen Elizabeth Klissus, CTRS
7625 E Karen Ln,
Port Orchard, WA 98366-8528
Ph: () - | Miss Ellen Elizabeth Klissus, CTRS
9600 Veterans Dr Sw Rm 263,
Tacoma, WA 98493-0003
Ph: (253) 583-2800 |
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