Individual
KELLI DIANN AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 S 9TH ST, MIDLOTHIAN, TX 76065-3831
(469) 410-3566
Mailing address
2050 CONQUEST BLVD APT 5304, WAXAHACHIE, TX 75167-4867
(214) 784-3170
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2167338
TX
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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