SearchMichigan171W00000X

Kristy Ellsworth, CMT

NPI 1770639965 · on the registry since 2007 · sole proprietor

Practice

Address
3212 Centennial Oak Ct
Clio, MI 48420
Phone
(810) 687-0941

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan