Randy L Russell, MPT | |
1315 S Fountain Dr, Olathe, KS 66061-7205 | |
(913) 829-3133 | |
Not Available |
Full Name | Randy L Russell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1315 S Fountain Dr, Olathe, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619989886 | NPI | - | NPPES |
1103051 | Other | KS | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104336338 PECOS PAC ID: 9537076401 Enrollment ID: O20130610000192 |
Mailing Address | Practice Location Address |
---|---|
Randy L Russell, MPT 21004 West 99th St, Lenexa, KS 66220 Ph: () - | Randy L Russell, MPT 1315 S Fountain Dr, Olathe, KS 66061-7205 Ph: (913) 829-3133 |
Dr. Mckayla Knudson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12452 S Gallery St, Olathe, KS 66062 Phone: 913-399-6707 Fax: 816-600-0349 | |
Serc - Olathe Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12755 S Mur Len Rd, Ste B1, Olathe, KS 66062 Phone: 913-782-8729 Fax: 913-782-7209 | |
Annette Christine Redhair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21250 W 151st St, Olathe, KS 66061 Phone: 316-516-2773 Fax: 407-200-8847 | |
Pelvic Connection Physical Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 N Cherry St Ste 203, Olathe, KS 66061 Phone: 913-423-2660 Fax: 913-498-9646 | |
Stephanie Bessery-nichols, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16134 S Laurelwood St, Olathe, KS 66062 Phone: 913-909-5529 | |
Mrs. Mistie Linn Yearout, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11970 S Blackbob Rd, Suite 100, Olathe, KS 66062 Phone: 913-393-0992 | |
Sharon Anne Ryan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1315 S Fountain Dr, Olathe, KS 66061 Phone: 913-829-3133 Fax: 913-829-6011 |