MRS. Staci Dawn Ellis, LMT is a specialist in Boise, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Staci Dawn Ellis, LMT NPI is 1639519044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1529 BELMONT ST
BOISE, ID
ZIP 83725-001
Phone: (208) 426-1459
The enumeration date for this NPI number is 6/29/2013 and was last updated on 6/29/2013.