License holder summary

Keith Allen Ellis is a Physical Therapist licensed to practice in Indiana. The address on file for Keith Allen Ellis is Chesterton IN 46304. This licensed professional license is current. The license was granted 09/18/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Keith Allen Ellis
Physical Therapist
License number
05010042A
Date granted
09/18/2009
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Chesterton IN 46304
indianalicensing.org
ID 8369441
LAST UPDATED 2024-03-27 06:26:04 UTC

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