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

Dr. Brad E. Ellisor, DC

Individual provider Chiropractor · NPI 1538333182

Dr. Brad E. Ellisor, DC is a Chiropractic in Tenino, Washington. Graduated from Life Chiropractic College - West in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Trained at
Life Chiropractic College - West
Licensed in
WA
In the registry since
2008
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

448 Sussex Ave E #3
Tenino, WA 98589-8703
Phone: (360) 264-5999
Fax: (369) 264-5999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH00034631 (WA)

Record details

NPI number1538333182
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing addressPo Box 14, Tenino, WA 98589-0014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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