Kelley Nichelle Russell P.T.A.

NPI 1790971737 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1790971737
Gender Female
Enumeration Date 09/24/2007
Last Updated 09/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ZEPHYRHILLS FL, 33542-7504, US
Phone (813) 779-2057
Fax (813) 779-2066
Business Location
ZEPHYRHILLS FL, 33542-7505, US
Phone (813) 780-1255
Fax (813) 780-9773
Taxonomy Code 225200000X
License State Florida
License Number PTA19233
Remove 1790971737 NPI Number

According to our database, Kelley Nichelle Russell P.T.A. NPI is 1790971737, taxonomy code is 225200000X and license number is PTA19233, license state is located at Florida. Kelley Nichelle Russell P.T.A. physically located at 38051 Market Sq, Zephyrhills FL, 33542-7504. NPI Number Kelley Nichelle Russell P.T.A. has the Individual type.

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1790971737 NPI number is provided on an as is basis without warranty of any kind. 1790971737 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley Nichelle Russell P.T.A. are for informational purposes only.