STACEY RUSSELL, PTA

Physical Therapy Assistant

Active Individual
NPI: 1033462114

Practice Address

4700 NW CLIFF VIEW DR
Riverside, MO 64150

Phone: (816) 741-5105

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2015030162 (MO)

Frequently Asked Questions

NPI 1033462114 is the National Provider Identifier for STACEY RUSSELL, PTA, a Physical Therapy Assistant provider located in Riverside, MO. This NPI was enumerated on October 26, 2012.
STACEY RUSSELL, PTA practices at 4700 NW CLIFF VIEW DR, Riverside, MO 64150.

Quick Facts

NPI
1033462114
Type
Individual
Enumerated
Oct 26, 2012
Last Updated
May 25, 2020

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