Individual
DR. RUSSELL WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8070 HIGHWAY 64 SUITE 104, BARTLETT, TN 38133
(901) 266-3838
(901) 266-3820
Mailing address
8070 HIGHWAY 64 SUITE 104, BARTLETT, TN 38133
(901) 266-3838
(901) 266-3820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9622
TN
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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