Pierce Russell, DPT

NPI #1982229191 in Beloit, Wisconsin

Provider Information

NPI Number: 1982229191
Entity Type: Individual
Name: Pierce Russell, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 12, 2020
Last Updated: Nov 1, 2021

Practice Location

Address: 1969 WEST HART RD
City: Beloit
State: Wisconsin
ZIP Code: 53511
Phone: (608) 364-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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