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Ellsworth Foot and Ankle Clinic — NPI 1932878030, Provo, UT | NPI Central

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NPI 1932878030

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Ellsworth Foot and Ankle Clinic

NPI 1932878030 · Podiatrist · Provo, UT

Provider details

NPI number: 1932878030
Entity type: Organization
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Parent organization: Ellsworth Foot and Ankle Clinic
Organization subpart: Yes
Authorized official: Ryan Ellsworth, Owner(801) 253-6886

Specialties & taxonomies

PodiatristPrimary213E00000X
Podiatric Medicine & Surgery Service Providers

Practice location

3355 N University Ave Ste 175

Provo, UT 84604-6620

Phone: (801) 253-6886

Fax: (801) 253-6888

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

9980 S 300 W Ste 300

Sandy, UT 84070-3654

Other names (DBA / former)

Doing business as: Summit Foot and Ankle

Registry dates

Enumerated: 2021-09-10
Last updated: 2025-02-05
Certified: 2025-02-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.