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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELE RENAE RUSSELL, D.P.T.

Active

MICHELE RENAE RUSSELL, D.P.T. is a Physical Therapy Assistant healthcare provider located in LAKESIDE, Arizona. NPI 1699343558 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKESIDE, AZ

Registration Details

NPI Number
1699343558
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2021 (5.1645046537691 yrs)
Last Updated
Apr 21, 2022
License
31790 (AZ)

Practice Information

Address
4830 HIGHWAY 260 STE 105
LAKESIDE, AZ, 859295851
Browse AZ providers · Browse ZIP 85929
Phone
9285321221
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAKESIDE, AZ

Name Credential NPI
ERIC COX 1275565160
DEREK R FLAKE PT 1104154269
DR. DAVID L. VALENTINE P.T., D.P.T. 1629412721
DR. ANGELA R VALENTINE P.T., D.P.T. 1154737625
RACHEL K ELLSWORTH PT 1316490949
MARY KATHERINE HEGARTY PT 1215425202
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.