IDA RUSSELL, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1700841038
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 293 (AR) |
Frequently Asked Questions
NPI 1700841038 is the National Provider Identifier for IDA RUSSELL, ATC, a Specialist/Technologist - Athletic Trainer provider located in Little Rock, AR. This NPI was enumerated on April 19, 2006.
IDA RUSSELL, ATC practices at 424 N UNIVERSITY AVE, Little Rock, AR 72205.
Quick Facts
- NPI
- 1700841038
- Type
- Individual
- Enumerated
- Apr 19, 2006
- Last Updated
- Jul 8, 2007
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