person
Dr. Tabitha Robin Ellsworth, DC
Chiropractor in Granite City, Illinois
NPI 1245532068

Tabitha Robin Ellsworth is a Chiropractor based in Granite City, IL. Tabitha Robin Ellsworth practices in Granite City, IL and has the professional credentials of DC. The NPI Number for Tabitha Robin Ellsworth is 1245532068 and holds a License No. 038.011457 (Illinois).

The current practice location address for Tabitha Robin Ellsworth is 3701 Nameoki Rd, Granite City, IL and can be reached out via phone at 618-451-8830 and via fax at 866-912-2457.

Location: 3701 Nameoki Rd, Granite City, IL, 62040-3711
person
Provider Profile Details
NPI Number
1245532068
Provider Name
Tabitha Robin Ellsworth
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
3701 Nameoki Rd, Granite City, IL, 62040-3711
Phone Number
618-451-8830
Fax Number
866-912-2457
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038011457 05 IL
institution
Provider Business Practice Location Address Details
Address
3701 Nameoki Rd
City
State
Zip
62040-3711
Phone Number
618-451-8830
Fax Number
866-912-2457
person
Provider Business Mailing Address Details
Address
3701 Nameoki Rd
City
State
Zip
62040-3711
Phone Number
618-451-8830
Fax Number
866-912-2457
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038.011457 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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