Russell Parker, PT
Physical Therapist in Green Bay, WI. Individual provider (NPI-1).
NPI number1376799643
StatusActive
Last updated in NPPESAug 18, 2008
Details
- NPI
- 1376799643
- Entity type
- Individual (NPI-1)
- Name
- Mr. Russell Parker
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2008
- Last updated
- Aug 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5513-24 | WI | Yes |
Practice location
2305 San Luis PlGreen Bay, WI 54304-5211
Phone 920-494-5231 · Fax 920-494-2855
Mailing address
2305 San Luis PlGreen Bay, WI 54304-5211
Phone 920-494-5231 · Fax 920-494-2855
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All 317 Physical Therapist providers in Green Bay · All 5,539 providers in Green Bay
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