Individual provider · Type 1 NPI

Russ Todd Nelson, LPT

Specialist · Texarkana, TX

NPI number 1407841695 Active

Practice location

4303 Texas Blvd, Ste 8
Texarkana, TX 75503-3097

Call (903) 793-1797 Map

Fax (903) 793-2105

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1090942 (TX)

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 1407841695

Russ Todd Nelson, LPT's National Provider Identifier is 1407841695, issued on Sep 14, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Texarkana, TX. The record was last updated on Jul 13, 2026.