MRS. Kristy J Ellsworth, CMT

NPI #1770639965 in Clio, Michigan

Provider Information

NPI Number
1770639965
Entity Type
Individual
Name
MRS. Kristy J Ellsworth, CMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
CMT
Enumeration Date
Jan 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3212 CENTENNIAL OAK CT
City
Clio
ZIP Code
48420-2900
Phone
(810) 687-0941

Specialties & Taxonomy Codes

Specialty
Contractor

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