NATHAN RUSSELL

YUMA, AZ
NPI1780428144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  LPT-32309)
Enumeration Date2024-06-20
Last Update Date2024-06-20
Business Address
NATHAN RUSSELL
901 W 24TH ST
YUMA, AZ 85364-6384
Phone number: 814-599-2849
Mailing Address
NATHAN RUSSELL
2651 S 8TH AVE APT 3025
YUMA, AZ 85364-4052
Phone number: 814-599-2849