IndividualActive
Russ Nelson, LPT
NPI 1407841695 · Specialist · Texarkana, TX
Russ Nelson, LPT is a Specialist provider in Texarkana, TX (NPI 1407841695).
Provider details
- NPI number
- 1407841695
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LPT
- Sex
- Male
- License
- 1090942 (TX)
Practice location
4303 Texas Blvd
Ste 8
Texarkana, TX 75503-3097
Phone: (903) 793-1797
Fax: (903) 793-2105
Street-level locationGet directions
Mailing address
4303 Texas Blvd
Texarkana, TX 75503-3097
Registry dates
- Enumerated
- 2005-09-14
- 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.