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

SANDI LYNN RUSSOM, P.T.

Active Sole Proprietor

SANDI LYNN RUSSOM, P.T. is a Physical Therapy Assistant healthcare provider located in AUSTIN, Texas. NPI 1033654652 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AUSTIN, TX

Registration Details

NPI Number
1033654652
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2017 (9.6117691452838 yrs)
Last Updated
Jan 5, 2017
License
1278988 (TX)
Sole Proprietor
Yes

Practice Information

Address
3707 MANCHACA RD APT 124
AUSTIN, TX, 787046708
Browse TX providers · Browse ZIP 78704
Phone
9012333564
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in AUSTIN, TX

Name Credential NPI
MRS. SU S LIM PT 1992709539
MR. BENJAMIN TODD MORGAN PT 1992700215
MISS ERIN H HARRE-ARNOLD PT 1396741732
MR. ROBERT BRENT WHALIN M.S. P.T. 1205834330
JON HUPP PT, MTC, CERT. MDT 1013916337
MRS. KATE MARIE BURKE PT 1831181577
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.