Doctor Name: | CYNTHIA L. RUSSELL |
NPI Number: | 1942494042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2002018261 |
Business Practice Address: | 810 Saint Louis Rd Fulton, MO - 652512258 |
Business Phone Number: | 5738238743 |
Business Fax Number: | |
Mailing Address: | 810 Saint Louis Rd, FULTON |
State: | MO |
Postal Code: | 652512258 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2002018261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |