Doctor Name: | RHONDA BETH RUSS |
NPI Number: | 1972556280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT2874 |
Business Practice Address: | 1002 Westpark Dr Suite 6 Bentonville, AR - 727124173 |
Business Phone Number: | 4792504014 |
Business Fax Number: | 4792504015 |
Mailing Address: | 1002 Westpark Dr, Suite 6 BENTONVILLE |
State: | AR |
Postal Code: | 727124173 |
Phone Number: | 4792504014 |
Fax Number: | 4792504015 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |