IndividualActive
Brady Elliott, CPED, CFO
NPI 1790093987 · Pedorthist · Paradise, CA
Provider details
- NPI number
- 1790093987
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPED, CFO
- Sex
- Male
- Sole proprietor
- No
Practice location
5923 Clark Rd
Ste C
Paradise, CA 95969
Phone: (530) 872-3710
Fax: (530) 872-7234
Mailing address
5923 Clark Rd
Paradise, CA 95969
Registry dates
- Enumerated
- 2010-09-22
- Last updated
- 2014-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.