Russell J Erickson, PT

NPI #1538512066 in Vernal, Utah

Provider Information

NPI Number: 1538512066
Entity Type: Individual
Name: Russell J Erickson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 150 W 100 N
City: Vernal
State: Utah
ZIP Code: 84078-2036
Phone: (435) 781-6811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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