Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA ALICIA RUSSELL, ATC
ActiveIDA ALICIA RUSSELL, ATC is a Athletic Trainer healthcare provider located in LITTLE ROCK, Arkansas. NPI 1700841038 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LITTLE ROCK, AR
Registration Details
- NPI Number
- 1700841038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2006 (20.136684184717 yrs)
- Last Updated
- Jul 8, 2007
- License
-
293 (AR)
Practice Information
- Address
-
424 N UNIVERSITY AVELITTLE ROCK, AR, 722053109Browse AR providers · Browse ZIP 72205
- Phone
- 5016610336
- Fax
- 5016610412
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM H MAACK III | ATC, CSCS | 1356316764 |
| MR. MICHAEL PAUL SWITLIK | ATC | 1841237880 |
| MS. TRACI ELIZABETH BYRD | ATC, CSCS | 1386791747 |
| MS. CHRISTA S FINNEY | M.S, ATC, LAT | 1699823922 |
| AMBER MARISA WATFORD | ATC, LAT | 1245380971 |
| RICHARD KYLE GREEN | — | 1922159409 |
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.