MR. BRIAN ELLINGWORTH, PT
Physical Therapist
Active
Individual
NPI: 1861450504
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 3052 (MN) |
Frequently Asked Questions
NPI 1861450504 is the National Provider Identifier for MR. BRIAN ELLINGWORTH, PT, a Physical Therapist provider located in Mankato, MN. This NPI was enumerated on May 3, 2006.
MR. BRIAN ELLINGWORTH, PT practices at 1431 PREMIER DR, Mankato, MN 56001.
Quick Facts
- NPI
- 1861450504
- Type
- Individual
- Enumerated
- May 3, 2006
- Last Updated
- Jul 22, 2011
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