Individual
MR. RUSSELL S. HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSCIAL THERAPIST
Contact information
Practice address
2403 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395-9042
(480) 737-1795
(214) 775-4483
Mailing address
2403 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395-9042
(480) 737-1795
(214) 775-4483
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us