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Individual
MR. RUSSELL S. HANKS
Active
Individual
MR. RUSSELL S. HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSCIAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1098804
TX
225100000X
Physical Therapist
Primary
LPT-034720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427395-01
—
TX
01
—
80835T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/12/2006
Last updated
04/29/2026
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