Jeff Russ, PT

NPI #1023627023 in Beech Grove, Indiana

Provider Information

NPI Number: 1023627023
Entity Type: Individual
Name: Jeff Russ, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 1300 ALBANY ST
City: Beech Grove
State: Indiana
ZIP Code: 46107-1536
Phone: (317) 782-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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