Individual
RUSSELL SEMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
5110 N DYSART RD, SUITE 148, LITCHFIELD PARK, AZ 85340-3058
(623) 547-4739
(623) 536-2154
Mailing address
15410 S. MOUINTAIN PARKWAY, SUITE 112, PHOENIX, AZ 85044
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12636
AZ
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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