Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOWARD MICHAEL RUSSELL, LPT
ActiveHOWARD MICHAEL RUSSELL, LPT is a Physical Therapy Assistant healthcare provider located in BAKER CITY, Idaho. NPI 1336211226 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BAKER CITY, ID
Registration Details
- NPI Number
- 1336211226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.717449138361 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
0287 (OR)PT1338 (ID)
Practice Information
- Address
-
3325 POCAHONTAS ROADST ELIZABETH HEALTH SERVICESBAKER CITY, ID, 978141464Browse ID providers · Browse ZIP 97814
- Phone
- 5415238130
- Fax
- 5415231793
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.