DR. Jason Russell, DPT
NPI #1205246006 in Independence, Missouri
Provider Information
- NPI Number
- 1205246006
- Entity Type
- Individual
- Name
- DR. Jason Russell, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- May 1, 2014
- Last Updated
- May 1, 2014
Practice Location
- Address
- 3980 SOUTH JACKSON DR
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057
- Phone
- (816) 795-1433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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