Massey, Russell W

Massey, Russell W is an individual health care provider with primary practice located at 100 Old Cherokee Rd Pmb 310, Lexington SC 29072-9316. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Massey, Russell W can be contacted via phone (803) 920-6349.

Contact Information

Primary practice address
100 Old Cherokee Rd Pmb 310 Lexington SC 29072-9316
Phone: (803) 920-6349
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 958 South Carolina

Profile Details

NPI number 1851449185
LBN Legal business name Massey, Russell W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851449185 NPPES
South Carolina Other 958 LICENSE #

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