Individual
DR. BRAD E. ELLISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
448 SUSSEX AVE E, #3, TENINO, WA 98589-8703
(360) 264-5999
(369) 264-5999
Mailing address
PO BOX 14, TENINO, WA 98589-0014
(360) 481-0300
(360) 264-5999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034631
WA
Other
Enumeration date
04/15/2008
Last updated
07/26/2024
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