Individual provider · Type 1 NPI
Brett Lee Russell, PT, LMT, ATC
Specialist · Travelers Rest, SC
NPI number
1164512190
Active
Practice location
600 N Highway 25
Travelers Rest, SC 29690
Fax (864) 834-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2005 (SC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
About NPI 1164512190
Brett Lee Russell, PT, LMT, ATC's National Provider Identifier is 1164512190, issued on Oct 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Travelers Rest, SC. The record was last updated on Jul 26, 2018.