Individual
MARCUS A AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2546 NE CONNERS AVE, SUITE 110, BEND, OR 97701-6761
(541) 382-5500
(541) 389-5669
Mailing address
2546 NE CONNERS AVE, SUITE 110, BEND, OR 97701-6761
(541) 382-5500
(541) 389-5669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6241
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624815
—
OR
Enumeration date
07/03/2007
Last updated
11/13/2023
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