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Individual

DR. ALEX W RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
701 N WALTON BLVD STE 2, BENTONVILLE, AR 72712-4548
(479) 250-9838
Mailing address
9 MAY LN, BELLA VISTA, AR 72715-4804
(505) 917-3911

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1324750
TX
225100000X
Physical Therapist
Primary
PT5415
AR
225100000X
Physical Therapist
PT5503
NM

Other

Enumeration date
06/20/2019
Last updated
09/01/2025
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