IndividualActive
Alex Russell, PT, DPT
NPI 1225698210 · Physical Therapist · Bentonville, AR
Provider details
- NPI number
- 1225698210
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 1324750 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
701 N Walton Blvd Ste 2
Bentonville, AR 72712-4548
Phone: (479) 250-9838
Approximate (ZIP-level) locationGet directions
Mailing address
9 May Ln
Bella Vista, AR 72715-4804
Registry dates
- Enumerated
- 2019-06-20
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.