NPI 1790093987

Brady Benjamin Elliott, CPEDCFO

Practitioner Pedorthist Paradise, CA

Practice location

Address: 5923 Clark Rd STE C, Paradise, CA 95969
Phone: (530) 872-3710
Fax: (530) 872-7234

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

Other Pedorthist providers in California →

Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in California →

Registry record

NPI: 1790093987
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2010
Record last updated: 8 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.