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

MR. DONALD E. RUSSELL IV, MS, LAT, ATC

Active Sole Proprietor

MR. DONALD E. RUSSELL IV, MS, LAT, ATC is a Athletic Trainer healthcare provider located in DILLSBURG, Pennsylvania. NPI 1922451616 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DILLSBURG, PA

Registration Details

NPI Number
1922451616
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2016 (10.03607426396 yrs)
Last Updated
Feb 29, 2020
License
RT005841 (PA)
Sole Proprietor
Yes

Practice Information

Address
650 S BALTIMORE ST
DILLSBURG, PA, 170199636
Browse PA providers · Browse ZIP 17019
Phone
7174328691
Fax
7174327393
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DILLSBURG, PA

Name Credential NPI
MR. GERALD BOWEN SCHWILLE ATC 1316080054
GRACE DORAN LAT, ATC 1326811639
MATTHEW ALAN BRUBAKER JR. ATC 1851284442
KAYLA LEHMAN 1184599631
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.