MRS. KERMALENE MARIE ELLSWORTH PTA
NPI 1306107065
Physical Therapy Assistant in Mchenry, IL
About Mrs. Kermalene Marie Ellsworth Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KERMALENE MARIE ELLSWORTH PTA (NPI 1306107065) is an individual physical therapy assistant in Mchenry, Illinois, licensed in Illinois (160.004012) and active in the NPI registry since May 2012.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kermalene Ellsworth's NPI number?
The NPI number for Kermalene Ellsworth is 1306107065. It was assigned to this individual provider in the NPPES registry on May 30, 2012.
Where is Kermalene Ellsworth located?
Kermalene Ellsworth practices at 5006 Memory Trl, Mchenry, IL 60051. The listed phone number is (847) 497-3264.
What is Kermalene Ellsworth's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Kermalene Ellsworth was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.