Michelle Jean Russell, DPT

NPI #1225315849 in Glendale, Wisconsin

Provider Information

NPI Number
1225315849
Entity Type
Individual
Name
Michelle Jean Russell, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 10, 2011
Last Updated
Mar 13, 2014

Practice Location

Address
5538 N SHASTA DR
ZIP Code
53209-4925
Phone
(920) 540-8626

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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