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STACEY L ELLIS
NPI 1285821256
Orthotic Fitter in Eureka, CA

Active since October 03, 2007
2773 HARRIS ST STE C, EUREKA, CA 95503(707) 444-0116 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey L Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY L ELLIS (NPI 1285821256) is an individual orthotic fitter provider in Eureka, California and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1285821256
Entity TypeIndividualFemale
Primary Taxonomy225000000X
Provider Legal NameSTACEY L ELLIS
Location Address2773 HARRIS ST STE CEureka, CA 95503-4866
Mailing Address2773 Harris St Ste CEureka, CA 95503-4866 · (707) 444-0116
Phone(707) 444-0116
Sole ProprietorNo
Enumeration DateOctober 3, 2007
✔ NPI 1285821256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225000000X
Definition
An individual trained in the management of fitting prefabricated orthoses.
2773 HARRIS ST STE C, Eureka, CA 95503
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL R LOZANO CP
Prosthetist
2773 HARRIS ST STE C
EUREKA, CA 95503
Humboldt County (707) 444-0116
HANGER PROSTHETICS & ORTHOTICS WEST INC
Prosthetic/Orthotic Supplier
2773 HARRIS ST STE C
EUREKA, CA 95503
Humboldt County (707) 444-0116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Ellis's NPI number?

The NPI number for Stacey Ellis is 1285821256. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Stacey Ellis located?

Stacey Ellis practices at 2773 Harris St Ste C, Eureka, CA 95503. The listed phone number is (707) 444-0116.

What is Stacey Ellis's specialty?

The primary specialty registered for this NPI is Orthotic Fitter with taxonomy code 225000000X.

When was this NPI record last updated?

The NPPES record for Stacey Ellis was last updated on October 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.