Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell Allan Reavely, LPTA

Individual provider Physical Therapy Assistant · NPI 1447836150

Mr. Russell Allan Reavely, LPTA is a Physical Therapy Assistant in Quincy, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

910 10th St SE
Quincy, WA 98810
Phone: (509) 797-3531

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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 60065774 (WA)

Record details

NPI number1447836150
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateFebruary 28, 2021