Tyler Joseph Russell

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1699278101

Tyler Joseph Russell is a Physical Medicine & Rehabilitation Physician in Fort Campbell, Kentucky. Licensed in Florida. Registered with an NPI since 2018.

Licensed in: FL
In the registry since: 2018

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Practice location Address checks out

2403 Indiana Ave
Fort Campbell, KY 42223-5314
Phone: (270) 412-5114

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary)	Taxonomy 208100000X · Licence OS16674 (FL)

Record details

NPI number	1699278101
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	March 10, 2018
Last updated in NPPES	May 3, 2023
Certification date	May 3, 2023