Dustin Ely

Physical Therapy Assistant · Lakeland, FL

Individual Active NPI

NPI number 1871907808

Practice location

411 E Orange St
Suite 204
Lakeland, FL 33801-5054
Phone
(863) 617-9400

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NPI record

NPI
1871907808
Entity type
Individual (Type 1)
Enumeration date
June 18, 2014
Last updated
June 18, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA22832 FL

Mailing address

6470 Horizon Point Dr
Lakeland, FL 33813-5407

About Dustin Ely

Dustin Ely is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 411 E Orange St, Suite 204, Lakeland, FL 33801-5054. The NPI number 1871907808 was assigned on June 18, 2014 and the record was last updated on June 18, 2014.

Dustin Ely lists a license in the registry: #PTA22832 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dustin Ely?

The NPI number is 1871907808.

What is the phone number of Dustin Ely?

The phone number listed for the practice location is (863) 617-9400.

Where is Dustin Ely located?

411 E Orange St, Suite 204, Lakeland, FL 33801-5054.

What is the taxonomy code for Dustin Ely?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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