Individual
MR. RUSSELL BARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1812
MS
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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