Individual
MR. RUSSELL TODD HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
103 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 707-7376
Mailing address
PO BOX 51246, BOWLING GREEN, KY 42102-5546
(270) 726-6640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003337
KY
Other
Enumeration date
06/15/2006
Last updated
08/16/2011
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