# ELLSWORTH PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861423873
- **Authorized official:** KIMBERLY D ELLSWORTH PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (802) 879-3545

## Contact information

- **Practice address:** 1 MARKET PL, SUITE \#33, ESSEX JUNCTION, VT 05452-2942
- **Practice address phone:** (802) 878-9572
- **Practice address fax:** (802) 878-9592
- **Mailing address:** 201 SHIRLEY CIR, WILLISTON, VT 05495-7351
- **Mailing address phone:** (802) 879-3545
- **Mailing address fax:** (802) 878-9592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 0400003140 | VT | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/22/2020