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Brett Lee Russell, PT,LMT,ATC
Specialist in Travelers Rest, South Carolina
NPI 1164512190

Brett Lee Russell is a Specialist based in Travelers Rest, SC. Brett Lee Russell practices in Travelers Rest, SC and has the professional credentials of PT,LMT,ATC. The NPI Number for Brett Lee Russell is 1164512190 and holds a License No. 2005 (South Carolina).

The current practice location address for Brett Lee Russell is 600 N Highway 25, Travelers Rest, SC and can be reached out via phone at 864-834-4995 and via fax at 864-834-4551.

Location: 600 N Highway 25, Travelers Rest, SC, 29690-9388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164512190
Provider Name
Brett Lee Russell
Credential
PT,LMT,ATC
Provider Entity Type
Individual
Gender
Male
Address
600 N Highway 25, Travelers Rest, SC, 29690-9388
Phone Number
864-834-4995
Fax Number
864-834-4551
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 N Highway 25
City
Travelers Rest
State
South Carolina
Zip
29690
Phone Number
864-834-4995
Fax Number
864-834-4551
person
Provider Business Mailing Address Details
Address
600 N Highway 25
City
Travelers Rest
State
South Carolina
Zip
29690
Phone Number
864-834-4995
Fax Number
864-834-4551
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2005 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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