Most Relevant Information
Provider Data
| NPI Number: | 1003458027 |
| Provider Name: | RODNEY GORDON RUSSELL PT, DPT, CERT. DN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 007855 |
Most Important Dates
| Enumeration Date: | 10/10/2019 |
| Last Updated: | 01/27/2021 |
Provider Practice Location
438 B NORWOOD RD
SOMERSET
KY
425032412
Practice Location Phone/Fax
| Phone: | 6068721061 |
| Fax: |
Provider Mailing Location
438 B NORWOOD RD
SOMERSET
KY
425032412
Provider Mailing Phone/Fax
| Phone: | 6068721601 |
| Fax: | 6066780333 |