SearchTexasPhysical Therapy Assistant

Travis Russell, PTA

NPI 1720568819 · on the registry since 2018 · sole proprietor

Practice

Address
3600 Angle Ave
Fort Worth, TX 76106
Phone
(817) 624-6164
Organisation at this address
West Wharton County Hospital District
Marine Creek Nursing And Rehabilitation Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-17

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 Texas