| Dr Jacob Aaron Russell, PT, DPT | |
|
1104 W Main St, Benton, IL 62812-1565 | |
| (618) 439-3399 | |
| (618) 439-4801 |
| Full Name | Dr Jacob Aaron Russell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1104 W Main St, Benton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356228142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070029347 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Aaron Russell, PT, DPT 1104 W Main St, Benton, IL 62812-1565 Ph: (618) 439-3399 | Dr Jacob Aaron Russell, PT, DPT 1104 W Main St, Benton, IL 62812-1565 Ph: (618) 439-3399 |
Rci (wrs), Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 | |
Patcholo Yap Paglinawan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1310 Mark Franklin Dr, Benton, IL 62812 Phone: 618-439-3500 | |
Mrs. Lovelia Cabrera Horn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 | |
Mr. Randall Wayne Lawrence, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 | |
Colin Jacob Overstreet, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1104 W Main St, Benton, IL 62812 Phone: 618-439-3399 Fax: 618-439-4801 |