| Doctor Name: | BRIAN JOSEPH RUSSON |
| NPI Number: | 1295731594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.P.T.ATC |
| License Number: | PT00007754 |
| Business Practice Address: | 14841 179th Ave Se Suite 340 Monroe, WA - 982721161 |
| Business Phone Number: | 3607947520 |
| Business Fax Number: | 3607948947 |
| Mailing Address: | 14841 179th Ave Se, Suite 340 MONROE |
| State: | WA |
| Postal Code: | 982721161 |
| Phone Number: | 3607947520 |
| Fax Number: | 3607948947 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00007754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |