Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL SHANNON HUMPHRIES, DC
ActiveChiropractor · PORT ORANGE, FL
Registration Details
- NPI Number
- 1497769210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (19.734314181443 yrs)
- Last Updated
- Jul 8, 2007
- License
-
CH3773 (FL)
Practice Information
- Address
-
4343 RIDGEWOOD AVENUESUITE BPORT ORANGE, FL, 32127Browse FL providers · Browse ZIP 32127
- Phone
- 3867672727
- Fax
- 3867676674
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| MINDY A WEINGARTEN | D. C. | 1164426581 |
| CHRISTOPHER M VARNUM | DC | 1760459200 |
| DR. MICHAEL SHANE CARTER | D.C., M.B.A. | 1790717775 |
| MICHAEL W SHREEVE | DC | 1063427771 |
| CARL HENRY BENNETT | DC | 1356452254 |
| THOMAS E NICHOLAS | DC | 1629160403 |
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.