Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KERMALENE MARIE ELLSWORTH, PTA
Active Sole ProprietorMRS. KERMALENE MARIE ELLSWORTH, PTA is a Occupational Therapist healthcare provider located in MCHENRY, Illinois. NPI 1306107065 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MCHENRY, IL
Registration Details
- NPI Number
- 1306107065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2012 (14.179090466829 yrs)
- Last Updated
- May 30, 2012
- License
-
160.004012 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5006 MEMORY TRLMCHENRY, IL, 600517778Browse IL providers · Browse ZIP 60051
- Phone
- 8474973264
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MCHENRY, IL
| Name | Credential | NPI |
|---|---|---|
| JOSEPH T SIECINSKI | PTA | 1932146156 |
| KATHLEEN M BOEHMER | P.T.A. | 1821270331 |
| MADONNA MARIE BROQUET | PTA | 1437439239 |
| MRS. DAWN SUSAN SLONE | PTA WCC | 1730432667 |
| MS. MARIE SUTTON | PTA | 1619220316 |
| MRS. MARILYN BRASTAD | — | 1124457601 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.