MR. Michael D Russell, PT,DPT, CSCS

NPI #1003012980 in Henderson, Nevada

Provider Information

NPI Number
1003012980
Entity Type
Individual
Name
MR. Michael D Russell, PT,DPT, CSCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT,DPT, CSCS
Enumeration Date
Jun 26, 2007
Last Updated
Jan 21, 2025

Practice Location

Address
3005 W HORIZON RIDGE PKWY STE 101
State
Nevada
ZIP Code
89052-5030
Phone
(702) 840-2500

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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