MR. Russell Allan Reavely, LPTA
NPI #1447836150 in Quincy, Washington
Provider Information
- NPI Number
- 1447836150
- Entity Type
- Individual
- Name
- MR. Russell Allan Reavely, LPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 910 10TH ST SE
- City
- Quincy
- State
- Washington
- ZIP Code
- 98810
- Phone
- (509) 797-3531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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