MR. Russell Chrischilles, PTA-BA
NPI #1740540640 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1740540640
- Entity Type
- Individual
- Name
- MR. Russell Chrischilles, PTA-BA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA-BA
- Enumeration Date
- May 24, 2012
- Last Updated
- May 24, 2012
Practice Location
- Address
- 1525 W 5TH ST
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-3027
- Phone
- (712) 213-8674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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