Joel Russo, AT, ATC
NPI #1902203953 in Centerville, Ohio
Provider Information
- NPI Number
- 1902203953
- Entity Type
- Individual
- Name
- Joel Russo, AT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- AT, ATC
- Enumeration Date
- Nov 19, 2014
- Last Updated
- Nov 19, 2014
Practice Location
- Address
- 2350 MIAMI VALLEY DR
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4778
- Phone
- (937) 438-7755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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