Individual
RACHEL K ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4830 HIGHWAY 260, STE 105, LAKESIDE, AZ 85929-5845
(928) 532-1221
(928) 532-1227
Mailing address
4830 HIGHWAY 260, STE 105, LAKESIDE, AZ 85929-5845
(928) 532-1221
(928) 532-1227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12391
AZ
Other
Enumeration date
08/01/2016
Last updated
08/09/2016
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