Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DUANE RUSSELL, ATC, CSCS
Active Sole ProprietorMARK DUANE RUSSELL, ATC, CSCS is a Athletic Trainer healthcare provider located in SAINT JOSEPH, Michigan. NPI 1306867049 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1306867049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.024541262224 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
3950 HOLLYWOOD RD STE 140SAINT JOSEPH, MI, 490859151Browse MI providers · Browse ZIP 49085
- Phone
- 2695567150
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SAINT JOSEPH, MI
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW ALAN MABRY | ATC, CSCS | 1568423853 |
| MRS. JULIE ANN LEGAULT | ATC | 1366469165 |
| MR. DANIEL KENT TINKEY | ATC | 1457489254 |
| TIMOTHY CLAIR MCNAIR | ATC | 1982074175 |
| ADAM THIESSE | AT, ATC | 1558725903 |
| KAITLYN JACKSON | — | 1336599901 |
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.