All Medicaid billing entities listing ELLIS, KEITH (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Indiana | 1 | $672.54 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | INNOVATIVE PHYSICAL THERAPY LLC | CHESTERTON, IN | Physical Therapist | $672.54 |