Individual provider · Type 1 NPI
Travis Odell Russell Jr., PTA
Physical Therapy Assistant · Fort Worth, TX
Practice location
3600 Angle Ave
Fort Worth, TX 76106-3559
Mailing address
419 S Elm St
Denton, TX 76201-6085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2035186 (TX) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
3 other providers at this address
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About NPI 1720568819
Travis Odell Russell Jr., PTA's National Provider Identifier is 1720568819, issued on Aug 17, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 17, 2018.