# MADISON PHYSICAL THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508879883
- **Authorized official:** VICTOR DALE RUSSELL R.P.T. (PRESIDENT)
- **Authorized official phone:** (256) 325-3280

## Contact information

- **Practice address:** 7693 HIGHWAY 72 W, MADISON, AL 35758-8750
- **Practice address phone:** (256) 325-3280
- **Practice address fax:** (256) 325-3281
- **Mailing address:** 7693 HIGHWAY 72 W, MADISON, AL 35758-8750
- **Mailing address phone:** (256) 325-3280
- **Mailing address fax:** (256) 325-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH255 | AL | — |
| 225100000X | Physical Therapist | PTH2852 | AL | Yes |
| 225100000X | Physical Therapist | PTH3369 | AL | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 06/08/2010