MR. Russell Scott Gregory, PTA

NPI #1952495863 in Manchester, Kentucky

Provider Information

NPI Number: 1952495863
Entity Type: Individual
Name: MR. Russell Scott Gregory, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 376 MANCHESTER SQUARE
City: Manchester
State: Kentucky
ZIP Code: 40962-9998
Phone: (606) 598-7673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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