Individual provider · Type 1 NPI

Tabitha Robin Ellsworth, DC

Chiropractor · Granite City, IL

NPI number 1245532068 Active

Practice location

3701 Nameoki Rd, Unit E
Granite City, IL 62040-3711

Fax (866) 912-2457

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038.011457 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1245532068

Tabitha Robin Ellsworth, DC's National Provider Identifier is 1245532068, issued on Nov 30, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Granite City, IL. The record was last updated on Dec 10, 2014.