IndividualActive
Brylee Russell, PTA
NPI 1609716877 · Physical Therapy Assistant · Tuttle, OK
Provider details
- NPI number
- 1609716877
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 4022 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 W Main St. Serene Pelvic Physical Therapy
Suite 4
Tuttle, OK 73089
Phone: (405) 463-4634
Approximate (ZIP-level) locationGet directions
Mailing address
460 N Pebble Creek Terrance
Mustang, OK 73064
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.