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Organization

DR. WHITNEY M. ELLSWORTH, DPT, PLLC

Active
Other names
Balanced Pelvic Health & Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WHITNEY ELLSWORTH DPT (OWNER/PHYSICAL THERAPIST)
(918) 486-9977
Entity
Organization

Contact information

Practice address
2601 N ASPEN AVE STE 1023, BROKEN ARROW, OK 74012-1378
(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
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200398390A
OK
05
201039650A
OK
Enumeration date
08/20/2020
Last updated
06/25/2025
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