Individual
MRS. WHITNEY MERDITH ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRPT
Contact information
Practice address
2601 N ASPEN AVE, BROKEN ARROW, OK 74012-1373
(918) 486-9977
(539) 777-2529
Mailing address
2601 N ASPEN AVE STE 1023, BROKEN ARROW, OK 74012-1378
(918) 486-9977
(539) 777-2529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103740
KS
Other
Enumeration date
02/04/2008
Last updated
06/25/2025
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