Randy L. Russell MPT

NPI 1619989886 - Physical Therapist - 225100000X

NPI Details
NPI 1619989886
Gender Male
Enumeration Date 08/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1315 S FOUNTAIN DR
OLATHE KS, 66061-7205, US
Phone (913) 829-3133
Fax
Business Location
21004 WEST 99TH ST
LENEXA KS, 66220, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Randy L. Russell MPT NPI is 1619989886, taxonomy code is 225100000X Randy L. Russell MPT physically located at 1315 S Fountain Dr, Olathe KS, 66061-7205. NPI Number Randy L. Russell MPT has the Individual type.

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1619989886 NPI number is provided on an as is basis without warranty of any kind. 1619989886 is maintained by the National Plan & Provider Enumeration System. The contents of Randy L. Russell MPT are for informational purposes only.