Kevin T Russell in Guilford - Physical Therapist
Kevin T Russell - NPI 1881601318
Kevin T Russell is a Physical Therapist in Guilford, Connecticut. Kevin T Russell practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kevin T Russell is 1881601318. The last update date is 2012-03-23.
Kevin T Russell's current location address is 111 Goose Lane, Guilford, Connecticut. You can contact this provider via phone number 2034530134 and fax number 2034530167. The mailing address for Kevin T Russell is 111 Goose Lane, Guilford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin T Russell |
|---|---|
| Address | 111 Goose Lane, Guilford, Connecticut |
| Phone Number | 2034530134 |
| Fax Number | 2034530167 |
| Sole Proprietor | N |
| Credentials | BS, MSPT |
NPI Number Detail
| NPI Number | 1881601318 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2012-03-23 |
Provider Mailing Address Detail
| Address | 111 Goose Lane |
|---|---|
| City | Guilford |
| State | Connecticut (CT) |
| Post Code | 6437 |
| Phone Number | 2034530134 |
| Fax Number | 2034530167 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4359 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080004359CT04 | CT | BLUE CROSS BLUE SHEILD | |
| 4133906 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin T Russell?
The Kevin T Russell has been issued the NPI (National Provider Identifier) 1881601318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kevin T Russell is geographically located?
The Kevin T Russell is physically situated at the following location: 111 Goose Lane, Guilford, CT, 6437.
What is the Kevin T Russell's area of specialization and corresponding taxonomy classification?
The Kevin T Russell's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Kevin T Russell receive its 1881601318 assignment from the Centers for Medicare & Medicaid Services?
The Kevin T Russell was assigned its 1881601318 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the details pertaining to Kevin T Russell last refreshed?
The information related to the Kevin T Russell, including its address, specialty, and other relevant details, was last updated on 2012-03-23.