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Contact Information

ELLEN E KLISSUS, CTRS
9600 VETERANS DR SW RM 263
TACOMA, WA98493-0003
 Phone: 253-583-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for ELLEN E KLISSUS · (Female)

NPI Number 1831535699
Status Active
Credentials CTRS
Entity Individual
Enumeration date 05/20/2013
Last updated 07/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 80817
  • WA License # MA60346418
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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