IndividualActive
Russell Gannon, MSPT
NPI 1376643882 · Orthopedic Physical Therapist · Birmingham, AL
Provider details
- NPI number
- 1376643882
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- No
- License
- PTH3502 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
616 Gadsden Hwy
Suite a
Birmingham, AL 35235-2501
Phone: (205) 833-0881
Fax: (205) 833-1190
Approximate (ZIP-level) locationGet directions
Mailing address
548 Twin Branch Dr
Birmingham, AL 35226-2342
Registry dates
- Enumerated
- 2006-09-24
- 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.