Provider Demographics
NPI:1083344253
Name:ELLIOTT, GILLIAN LYNN (,MS, ACSM-CEP)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:LYNN
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:,MS, ACSM-CEP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:102 RIDGEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-6769
Mailing Address - Country:US
Mailing Address - Phone:412-218-8408
Mailing Address - Fax:
Practice Address - Street 1:102 RIDGEVIEW ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-6769
Practice Address - Country:US
Practice Address - Phone:412-218-8408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist