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Russell Reavely, LPTA
NPI 1447836150 · on the registry since 2021
Practice
- Address
- 910 10th St Se
Quincy, WA 98810 - Phone
- (509) 797-3531
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington