Individual
PHILLIP ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6638 E BASELINE RD STE 101, MESA, AZ 85206-4433
(480) 534-7330
Mailing address
40975 N ARBOR AVE, SAN TAN VALLEY, AZ 85140-5416
(661) 859-9873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034221
AZ
Other
Enumeration date
06/21/2025
Last updated
09/24/2025
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