Provider Demographics
NPI:1467026815
Name:ISAAC, ELLEN MICHELLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:MICHELLE
Last Name:ISAAC
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 HAMPTON KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-9160
Mailing Address - Country:US
Mailing Address - Phone:419-775-6925
Mailing Address - Fax:
Practice Address - Street 1:3029 SMITH RD STE 400
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3366
Practice Address - Country:US
Practice Address - Phone:330-687-6891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist