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

ALEXANDER GEOFFREY RUSSELL, PT, DPT, CSCS

Active

ALEXANDER GEOFFREY RUSSELL, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in AVON, Connecticut. NPI 1750156956 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AVON, CT

Registration Details

NPI Number
1750156956
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2023 (2.6975853100528 yrs)
Last Updated
Jun 26, 2024
Licenses
27263 (MA)
14282 (CT)

Practice Information

Address
60 MARKET ST STE 130
AVON, CT, 060014282
Browse CT providers · Browse ZIP 06001
Phone
8607038505
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in AVON, CT

Name Credential NPI
WILLIAM HOGAN PT 1336119692
MRS. DENISE MARIE SANTORO PT 1366459992
MICHAEL GANS PT 1063424588
PAUL CONTE 1609984350
KATHRYN E MILLER MSPT 1245349406
JANE MARQUES 1740390400
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.