Russell Farnsworth, DPT

NPI 1528503083 · on the registry since 2016

Practice

Address: 265 E Chubbuck Rd
Ste A
Chubbuck, ID 83202
Phone: (208) 417-0011
Fax: (888) 437-2431
Organisation at this address: Custom Rehab Llc
Center Counseling
Center Counseling, Llc
Center Counseling, Llc
Center Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-05-11

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 Idaho