Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA LEIGH RUSSELL, ATC
Active Sole ProprietorCARISSA LEIGH RUSSELL, ATC is a Athletic Trainer healthcare provider located in MILLBURY, Ohio. NPI 1568082923 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MILLBURY, OH
Registration Details
- NPI Number
- 1568082923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2020 (6.3116359278164 yrs)
- Last Updated
- Apr 25, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
28080 LEMOYNE RDMILLBURY, OH, 434479747Browse OH providers · Browse ZIP 43447
- Phone
- 4192793794
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.