Individual
BRETT LEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,LMT,ATC
Contact information
Practice address
600 N HIGHWAY 25, TRAVELERS REST, SC 29690
(864) 834-4995
(864) 834-4551
Mailing address
600 N HIGHWAY 25, TRAVELERS REST, SC 29690-9388
(864) 834-4995
(864) 834-4551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005
SC
Other
Enumeration date
10/13/2006
Last updated
07/26/2018
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