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

NICHOLAS RUSSELL

Active Sole Proprietor

NICHOLAS RUSSELL is a Physical Therapy Assistant healthcare provider located in HOLLAND, Michigan. NPI 1013487271 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOLLAND, MI

Registration Details

NPI Number
1013487271
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2018 (7.7094376600098 yrs)
Last Updated
Nov 30, 2018
License
5501018629 (MI)
Sole Proprietor
Yes

Practice Information

Address
602 MICHIGAN AVE
HOLLAND, MI, 494234918
Browse MI providers · Browse ZIP 49423
Phone
6163925141
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HOLLAND, MI

Name Credential NPI
MR. ROBERT ANDREW PRZYBYSZ P.T. 1093712192
MRS. SAMANTHA MELISSA BEHENSKY PT 1205801909
CRAIG A PIERSMA PT 1104889468
MELISSA M MEISTE M.S.P.T. 1992754188
MISS MARJALIZE KIRSTEN PT 1275583031
VERNON JACK VANDENBERG PT 1184652299
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.