Russell Wayne Gunter, PT
Physical Therapist in Scott, LA. Individual provider (NPI-1).
NPI number1891744199
StatusActive
Last updated in NPPESSep 5, 2012
Details
- NPI
- 1891744199
- Entity type
- Individual (NPI-1)
- Name
- Prof. Russell Wayne Gunter
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2006
- Last updated
- Sep 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 04809 | LA | Yes |
Practice location
101 Park West DrSuite B
Scott, LA 70583-8902
Phone 337-769-1556 · Fax 337-769-1557
Mailing address
Po Box 61651Lafayette, LA 70596-1651
Phone 337-412-6146 · Fax 337-504-2884
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All 21 Physical Therapist providers in Scott · All 184 providers in Scott
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