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Russell Atkins, PT

Physical Therapist in Ooltewah, TN. Individual provider (NPI-1).

NPI number1760699110
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1760699110
Entity type
Individual (NPI-1)
Name
Russell Atkins
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist6211TNYes

Practice location

5704 Main St
Ooltewah, TN 37363-8713

Phone 423-238-1301

Mailing address

5704 Main St
Ooltewah, TN 37363-8713

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