Individual
RUSSELL TAYLOR FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
265 E CHUBBUCK RD, STE A, CHUBBUCK, ID 83202-2085
(208) 417-0011
(888) 437-2431
Mailing address
265 E CHUBBUCK RD, STE A, CHUBBUCK, ID 83202-2085
(208) 417-0011
(888) 437-2431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60684082
WA
Other
Enumeration date
12/19/2016
Last updated
05/11/2022
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