Megan Ellsworth, PT, DPT
Physical Therapist in Lebanon, IN. Individual provider (NPI-1).
NPI number1750181079
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1750181079
- Entity type
- Individual (NPI-1)
- Name
- Megan Ellsworth
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2025
- Certification date
- Mar 16, 2025
- Last updated
- Mar 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05015215A | IN | Yes |
Practice location
803 N Grant StLebanon, IN 46052-1569
Phone 317-938-8754
Mailing address
803 N Grant StLebanon, IN 46052-1569
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