Russell Tyler Brant

NPI #1417703166 in Biloxi, Mississippi

Provider Information

NPI Number: 1417703166
Entity Type: Individual
Name: Russell Tyler Brant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 920 CEDAR LAKE RD STE S
City: Biloxi
State: Mississippi
ZIP Code: 39532-2107
Phone: (228) 641-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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