Individual
RUSSELL WAYNE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1704 E STONE DR STE 120, KINGSPORT, TN 37660-4679
(423) 765-0985
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-8930
(423) 254-5217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12261
TN
225100000X
Physical Therapist
PT013054
GA
Other
Enumeration date
08/13/2017
Last updated
03/09/2020
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