Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kristy J Ellsworth, CMT

Individual provider Contractor · NPI 1770639965

Mrs. Kristy J Ellsworth, CMT is a Contractor in Clio, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

3212 Centennial Oak Ct
Clio, MI 48420-2900
Phone: (810) 687-0941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence MASSAGE THERAPIST (MI)

Record details

NPI number1770639965
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedJanuary 28, 2007
Last updated in NPPESJuly 8, 2007

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