Kaymen Russell, PTA
NPI #1588400535 in Canton, Mississippi
Provider Information
- NPI Number
- 1588400535
- Entity Type
- Individual
- Name
- Kaymen Russell, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
Practice Location
- Address
- 3425 N LIBERTY ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-3761
- Phone
- (601) 691-5132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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