Individual provider · Type 1 NPI

Russell D. Gannon, MSPT

Orthopedic Physical Therapist · Birmingham, AL

NPI number 1376643882 Active

Practice location

616 Gadsden Hwy, Suite A
Birmingham, AL 35235-2501

Fax (205) 833-1190

Mailing address

548 Twin Branch Dr
Birmingham, AL 35226-2342

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800XPTH3502 (AL)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1376643882

Russell D. Gannon, MSPT's National Provider Identifier is 1376643882, issued on Sep 24, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2007.