NPI 1912676016 · live from the CMS NPI Registry
Ellsworth Foot And Ankle Clinic
Podiatrist in Huntington, UT. National Provider Identifier 1912676016, active.
NPI record
| NPI | 1912676016 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 367 N Main St, Huntington, UT 84528 |
| Practice phone | 801-253-6886 |
| Mailing address | 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 |
| Enumerated | September 10, 2021 |
| Last updated | September 30, 2021 |
| Authorized official | Ryan Ellsworth, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.