DR. Tabitha Robin Ellsworth, D.C.

NPI #1245532068 in Granite City, Illinois

Provider Information

NPI Number: 1245532068
Entity Type: Individual
Name: DR. Tabitha Robin Ellsworth, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 30, 2010
Last Updated: Dec 10, 2014

Practice Location

Address: 3701 NAMEOKI RD
Address 2: UNIT E
City: Granite City
State: Illinois
ZIP Code: 62040-3711
Phone: (618) 451-8830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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