Russell Taylor Farnsworth, DPT

NPI #1528503083 in Chubbuck, Idaho

Provider Information

NPI Number
1528503083
Entity Type
Individual
Name
Russell Taylor Farnsworth, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Dec 19, 2016
Last Updated
May 11, 2022

Practice Location

Address
265 E CHUBBUCK RD
Address 2
STE A
State
Idaho
ZIP Code
83202-2085
Phone
(208) 417-0011

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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