Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM RUSS
ActiveMR. JIM RUSS is a Athletic Trainer healthcare provider located in NOTRE DAME, Indiana. NPI 1295703098 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NOTRE DAME, IN
Registration Details
- NPI Number
- 1295703098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.396287063119 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36000278A (IN)
Practice Information
- Address
-
113 JOYCE CTRNOTRE DAME, IN, 465565678Browse IN providers · Browse ZIP 46556
- Phone
- 5746313304
- Fax
- 5746313305
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NOTRE DAME, IN
| Name | Credential | NPI |
|---|---|---|
| ALICIA MARIE ROANE | ATC | 1174550677 |
| MR. WILLARD AGNEW III | MS, ATC | 1013142538 |
| ANNE M MARQUEZ | M.ED., ATC/L | 1659639615 |
| KATIE BOURBONNAIS | M.S, ATC, LAT, CSCS | 1255736849 |
| VICTORIA HOMMEL | MS, ATC, LAT | 1922456383 |
| CLOE LUCIA KLAUS | ATC | 1477068146 |
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.