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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT R. BUSSELL X, P.T.

Active

MR. ROBERT R. BUSSELL X, P.T. is a Physical Therapy Assistant healthcare provider located in JACKON, California. NPI 1316996747 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKON, CA

Registration Details

NPI Number
1316996747
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2006 (20.264762854317 yrs)
Last Updated
Jul 8, 2007
License
PT 471 (CA)

Practice Information

Address
813 COURT STREET
STE 2
JACKON, CA, 95642
Browse CA providers · Browse ZIP 95642
Phone
2092233250
Fax
2092232517
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.