Mr Russell Eric Davis, PT is a
Physical Therapist based in Apo Ae, New York. Mr Russell Eric Davis is licensed to practice in Georgia (license number PT003021) and his current practice location is
Physical Therapy Clinic, Grafenweohr, Bmeddac, Bldg 476, Room 107, Apo Ae, New York. He can be reached at his office (for appointments etc.) via phone at
(253) 968-0780.
NPI number for Mr Russell Eric Davis is 1962562793 and his current mailing address is 2005 Eskridge Blvd Se, Olympia, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962562793.
Healthcare Provider's Profile
Full Name | Mr Russell Eric Davis |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | Physical Therapy Clinic, Grafenweohr, Bmeddac, Apo Ae, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962562793
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 09/28/2023
Medical Identifiers
Medical identifiers for Mr Russell Eric Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962562793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT003021 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Russell Eric Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Russell Eric Davis, PT 2005 Eskridge Blvd Se, Olympia, WA 98501-3704 Ph: (253) 381-7602 | Mr Russell Eric Davis, PT Physical Therapy Clinic, Grafenweohr, Bmeddac, Bldg 476, Room 107, Apo Ae, NY 09114 Ph: (253) 968-0780 |
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