Tenino Chiropractic & Natural Wellness Center | |
448 Sussex Ave E, #3, Tenino, WA 98589-8703 | |
(360) 264-5999 | |
(369) 264-5999 |
Full Name | Tenino Chiropractic & Natural Wellness Center |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 448 Sussex Ave E, Tenino, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831458124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00034631 (Washington) | Primary |
Provider Name | Bradley Ellisor |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538333182 PECOS PAC ID: 8628104445 Enrollment ID: I20100331000992 |
Mailing Address | Practice Location Address |
---|---|
Tenino Chiropractic & Natural Wellness Center Po Box 14, Tenino, WA 98589-0014 Ph: (360) 481-0300 | Tenino Chiropractic & Natural Wellness Center 448 Sussex Ave E, #3, Tenino, WA 98589-8703 Ph: (360) 264-5999 |
Dr. Brad E. Ellisor, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 448 Sussex Ave E, #3, Tenino, WA 98589 Phone: 360-264-5999 Fax: 369-264-5999 | |
Dr. Ronald H Coulson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 448 Sussex Ave E, Suite 3 Box 676, Tenino, WA 98589 Phone: 360-264-5999 Fax: 360-264-5979 |