Russell A Wiglesworth P.T.

NPI 1619921137 - Physical Therapist - 225100000X

NPI Details
NPI 1619921137
Gender Male
Enumeration Date 05/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7162 RENNER RD
SHAWNEE KS, 66217-9409, US
Phone (913) 962-7770
Fax (913) 962-7775
Business Location
7162 RENNER RD
SHAWNEE KS, 66217-9409, US
Phone (913) 962-7770
Fax (913) 962-7775
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number R0956
Remove 1619921137 NPI Number
 

According to our database, Russell A Wiglesworth P.T. NPI is 1619921137, taxonomy code is 225100000X and license number is R0956, license state is located at Missouri. Russell A Wiglesworth P.T. physically located at 7162 Renner Rd, Shawnee KS, 66217-9409. NPI Number Russell A Wiglesworth P.T. has the Individual type.

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1619921137 NPI number is provided on an as is basis without warranty of any kind. 1619921137 is maintained by the National Plan & Provider Enumeration System. The contents of Russell A Wiglesworth P.T. are for informational purposes only.