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Dr. Brad E. Ellisor, DC
Chiropractor in Tenino, Washington
NPI 1538333182

Brad E. Ellisor is a Chiropractor based in Tenino, WA. Brad E. Ellisor practices in Tenino, WA and has the professional credentials of DC. The NPI Number for Brad E. Ellisor is 1538333182 and holds a License No. CH00034631 (Washington).

The current practice location address for Brad E. Ellisor is 448 Sussex Ave E, Tenino, WA and can be reached out via phone at 360-264-5999 and via fax at 369-264-5999.

Location: 448 Sussex Ave E, Tenino, WA, 98589-0014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538333182
Provider Name
Brad E. Ellisor
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
448 Sussex Ave E, Tenino, WA, 98589-0014
Phone Number
360-264-5999
Fax Number
369-264-5999
Provider Enumeration Date
04/15/2008
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
448 Sussex Ave E
City
Tenino
State
Washington
Zip
98589-8703
Phone Number
360-264-5999
Fax Number
369-264-5999
person
Provider Business Mailing Address Details
Address
448 Sussex Ave E
City
Tenino
State
Washington
Zip
98589-8703
Phone Number
360-264-5999
Fax Number
369-264-5999
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00034631 (Washington)
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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