IndividualActive
Brian Russon, M.S.P.T.ATC
NPI 1295731594 · Physical Therapist · Monroe, WA
Provider details
- NPI number
- 1295731594
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.S.P.T.ATC
- Sex
- Male
- Sole proprietor
- No
- License
- PT00007754 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14841 179th Ave Se
Suite 340
Monroe, WA 98272-1161
Phone: (360) 794-7520
Fax: (360) 794-8947
Approximate (ZIP-level) locationGet directions
Mailing address
14841 179th Ave Se
Monroe, WA 98272-1161
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.