Individual
RUSSELL STANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4601 WHITESBURG DR SE STE 102, HUNTSVILLE, AL 35802-1677
(256) 883-1734
(256) 883-1735
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9522
AL
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/26/2019
Last updated
09/23/2022
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