Individual
RUSSELL EDWARD HUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6359
(907) 543-6850
Mailing address
PO BOX 3106, BETHEL, AK 99559-3106
(907) 543-4309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1569
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT1569
—
AK
Enumeration date
05/23/2007
Last updated
07/09/2007
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