Organization Name: | BRETT RUSSELL PHYSICAL THERAPY AND FITNESS LLC |
NPI Number: | 1083704225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT LEE RUSSELL (PRESIDENT) |
Mailing Address: | 600 N Highway 25 Travelers Rest |
State: | SC US |
Postal Code: | 296909388 |
Phone Number: | 8648344995 |
Fax Number: | 8648344551 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |