Teresa Ruth Ellison, LMT is a
Massage Therapist based in Williamsburg, Kentucky. Teresa Ruth Ellison is licensed to practice in Kentucky (license number KY2650) and her current practice location is
412 Sycamore St, Williamsburg, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 215-0977.
NPI number for Teresa Ruth Ellison is 1659681476 and her current mailing address is Po Box 483, Williamsburg, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659681476.
Healthcare Provider's Profile
| Full Name | Teresa Ruth Ellison |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 412 Sycamore St, Williamsburg, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659681476
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/14/2010
Medical Identifiers
Medical identifiers for Teresa Ruth Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659681476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | KY2650 (Kentucky) | 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. Teresa Ruth Ellison 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 |
|---|
Teresa Ruth Ellison, LMT
Po Box 483,
Williamsburg, KY 40769-0483
Ph: (606) 215-0977 | Teresa Ruth Ellison, LMT
412 Sycamore St,
Williamsburg, KY 40769-1137
Ph: (606) 215-0977 |
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