Individual provider · Type 1 NPI

Gyles Donald Russell, PT

Specialist · Oak Ridge, TN

NPI number 1205990827 Active

Practice location

800 Oak Ridge Tpke, Suite C 102
Oak Ridge, TN 37830-6957

Fax (865) 483-7791

Mailing address

116 Dartmouth Cir
Oak Ridge, TN 37830-7703

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT 157 (TN)

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.

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About NPI 1205990827

Gyles Donald Russell, PT's National Provider Identifier is 1205990827, issued on Dec 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oak Ridge, TN. The record was last updated on Jul 8, 2007.