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Kimberlee Ellison, PT, DPT, C/NDT — NPI 1326441940, Phoenix, AZ | NPI Central

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NPI 1326441940

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Kimberlee Ellison, PT, DPT, C/NDT

NPI 1326441940 · Pediatric Physical Therapist · Phoenix, AZ

Provider details

NPI number: 1326441940
Entity type: Individual
Primary specialty: Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT, DPT, C/NDT
Sex: Female
Sole proprietor: Yes
License: PT60439302 (WA)

Specialties & taxonomies

Pediatric Physical TherapistPrimary2251P0200XLicense LPT-30638 (AZ)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist225100000XLicense PT60439302 (WA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Pediatric Physical Therapist2251P0200XLicense PT60439302 (WA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

2302 N 15th Ave

Phoenix, AZ 85007-1201

Phone: (623) 242-6908

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

2302 N 15th Ave

Phoenix, AZ 85007-1201

Additional practice locations (1)

10811 Se Kent Kangley Rd
Kent, WA 98030-7108
Phone: (253) 854-5660
Fax: (253) 854-7025

Registry dates

Enumerated: 2014-09-28
Last updated: 2019-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.