Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN JON ELLINGWORTH, PT
ActiveMR. BRIAN JON ELLINGWORTH, PT is a Physical Therapy Assistant healthcare provider located in MANKATO, Minnesota. NPI 1861450504 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MANKATO, MN
Registration Details
- NPI Number
- 1861450504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2006 (20.243988884908 yrs)
- Last Updated
- Jul 22, 2011
- License
-
3052 (MN)
Practice Information
- Address
-
1431 PREMIER DRMANKATO, MN, 560016076Browse MN providers · Browse ZIP 56001
- Phone
- 5073866700
- Fax
- 5073888372
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| NANCY D DOBSON | RPT | 1043281223 |
| KRISTIN J LEHNE | MPT | 1922079102 |
| MRS. CONNIE ELLIS PHILLIPS | PT | 1124086525 |
| MR. DARRIN KYLE JASS | PT | 1932167681 |
| MRS. BECKY LEE HERRLEY | PT | 1891753364 |
| MRS. TONYA JANE PAULSEN | PT | 1184682650 |
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.