Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERTA D RUSSELL, LMT
Active Sole ProprietorROBERTA D RUSSELL, LMT is a Mechanotherapist healthcare provider located in CAMP VERDE, Arizona. NPI 1962782979 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · CAMP VERDE, AZ
Registration Details
- NPI Number
- 1962782979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2011 (14.997677164388 yrs)
- Last Updated
- Aug 22, 2011
- License
-
MT-04916 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3964 W SHEA LNCAMP VERDE, AZ, 863228530Browse AZ providers · Browse ZIP 86322
- Phone
- 9284512588
- Primary Specialty
-
Mechanotherapist
172M00000X
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.