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Contact Information

GEORGE RUSSELL, PT
12961 LAFAYETTE ST UNIT H
THORNTON, CO80241-3969
 Phone: 720-508-3422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GEORGE RUSSELL · (Male)

NPI Number 1922493055
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 04/06/2015
Last updated 02/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # PTL0012394
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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