Dr Kitrick Tyler Russell, PT, DPT | |
800 Tilghman Dr, Dunn, NC 28334-5510 | |
(910) 892-1000 | |
Not Available |
Full Name | Dr Kitrick Tyler Russell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 800 Tilghman Dr, Dunn, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962123836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Best Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427674019 PECOS PAC ID: 8729401625 Enrollment ID: O20200710002086 |
Mailing Address | Practice Location Address |
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Dr Kitrick Tyler Russell, PT, DPT 684 Barneswyck Dr, Fuquay Varina, NC 27526-2277 Ph: (816) 695-5606 | Dr Kitrick Tyler Russell, PT, DPT 800 Tilghman Dr, Dunn, NC 28334-5510 Ph: (910) 892-1000 |
Mrs. Christine Carol Ketchum, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Clinton Avenue, Suite C, Dunn, NC 28334 Phone: 910-892-0027 Fax: 910-892-0029 | |
Madison Myers, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 S Railroad Ave, Dunn, NC 28334 Phone: 910-892-0027 | |
Stacy A Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 S Railroad Ave, Dunn, NC 28334 Phone: 910-892-0027 Fax: 910-892-0029 | |
Mrs. Constance Jane Teasdale, COTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 S Railroad Ave, Dunn, NC 28334 Phone: 910-892-0027 Fax: 910-892-0029 | |
Mrs. Jennifer Lynn Sutphin, OTRL Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Clinton Avenue, Ste C, Dunn, NC 28334 Phone: 910-892-0027 Fax: 910-892-0029 | |
Laurie Rubeira, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 S Railroad Ave, Dunn, NC 28334 Phone: 910-892-0027 Fax: 910-892-0029 | |
Shailee Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Lucas Rd, Dunn, NC 28334 Phone: 910-230-0506 |