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Contact Information

MELANIE ELLSWORTH, ATC
10533 GODDARD STREET
APT 331
OVERLAND PARK, KS66214
 Phone: 209-872-0711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MELANIE ELLSWORTH · (Female)

NPI # 1861864381
Status Active
Credentials ATC
Entity Individual
Enumeration date 10/23/2015
Last updated 10/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 24-00962
  • MO License # 2014024987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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