Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TEKI MASHAWN RUSSELL, OTR/L
Active Sole ProprietorMISS TEKI MASHAWN RUSSELL, OTR/L is a Contractor healthcare provider located in SENOIA, Georgia. NPI 1992196364 is currently active in the NPPES registry. Verify at CMS.
Contractor · SENOIA, GA
Registration Details
- NPI Number
- 1992196364
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2015 (11.544443464189 yrs)
- Last Updated
- Jun 9, 2016
- License
-
OT002684 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
444 CHESTLEHURST RDSENOIA, GA, 302762505Browse GA providers · Browse ZIP 30276
- Phone
- 7705994500
- Fax
- 7705994500
- Primary Specialty
-
Contractor
171W00000X
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.