Carissa Leigh Russell, ATC

NPI #1568082923 in Millbury, Ohio

Provider Information

NPI Number
1568082923
Entity Type
Individual
Name
Carissa Leigh Russell, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 25, 2020
Last Updated
Apr 25, 2020

Practice Location

Address
28080 LEMOYNE RD
State
Ohio
ZIP Code
43447-9747
Phone
(419) 279-3794

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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