Individual provider · Type 1 NPI

Kristy J. Ellsworth, CMT

Contractor · Clio, MI

NPI number 1770639965 Active

Practice location

3212 Centennial Oak Ct
Clio, MI 48420-2900

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XMASSAGE THERAPIST (MI)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1770639965

Kristy J. Ellsworth, CMT's National Provider Identifier is 1770639965, issued on Jan 28, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Clio, MI. The record was last updated on Jul 8, 2007.