RUSSELL WAYNE CARR PT, DPT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1639694490- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT, DPT
- Status
- Active
Contact & Location
- Address
- 1704 E STONE DR STE 120, KINGSPORT, TN, 376604679
- Phone
- (423) 765-0985
Specialties & Taxonomies
Physical Therapist
License: GA #PT013054
Physical Therapist
Primary License: TN #12261