IndividualActive
Scott Russell, M.P.T.
NPI 1285742742 · Physical Therapist · Los Banos, CA
Provider details
- NPI number
- 1285742742
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- PT23597 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
312 W J St
Los Banos, CA 93635-4073
Phone: (209) 827-6178
Fax: (209) 827-6179
Approximate (ZIP-level) locationGet directions
Mailing address
312 W J St
Los Banos, CA 93635-4069
Registry dates
- Enumerated
- 2006-08-26
- Last updated
- 2015-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.