Individual provider · Type 1 NPI
Bradley Ellithorpe
Student in an Organized Health Care Education/Training Program · Fiskdale, MA
NPI number
1134030596
Active
Practice location
9 Draper Woods Rd
Fiskdale, MA 01518-1180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1134030596
Bradley Ellithorpe's National Provider Identifier is 1134030596, issued on Sep 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fiskdale, MA. The record was last updated on Sep 15, 2026.