Kelsey Russell, PTA

NPI #1972262061 in Mattoon, Illinois

Provider Information

NPI Number
1972262061
Entity Type
Individual
Name
Kelsey Russell, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 15, 2021
Last Updated
Dec 22, 2021

Practice Location

Address
1017 STINSON AVE
ZIP Code
61938-6044
Phone
(217) 232-1660

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