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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERICA RYU ELLSWORTH, CCP

Active

ERICA RYU ELLSWORTH, CCP is a Orthotic Fitter healthcare provider located in SAN ANTONIO, Texas. NPI 1457970972 is currently active in the NPPES registry. Verify at CMS.

Orthotic Fitter · SAN ANTONIO, TX

Registration Details

NPI Number
1457970972
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2020 (6.2923304587949 yrs)
Last Updated
Feb 2, 2021
License
FPF02000139 (TX)

Practice Information

Address
14603 HUEBNER RD BLDG 28
SAN ANTONIO, TX, 782305497
Browse TX providers · Browse ZIP 78230
Phone
2106147074
Primary Specialty
Orthotic Fitter
242T00000X
Additional Specialty
Orthotic Fitter

Other Orthotic Fitter Providers in SAN ANTONIO, TX

Name Credential NPI
JEFFREY BARTON HENSLER CCP 1013051218
MR. ROBERT MATTHEW BROWNE CCP 1265554414
MR. ALAEDDIN M. TAHER CCP 1124202767
MR. JEFFERY ALBERT FERGERSON C.C.P., L.P. 1841443306
MRS. MARY E MENSCH CCP LP 1376771451
MRS. SHELBY MCNEEL MILLER SHELBY MILLER, CCP 1336455039
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.