Individual provider · Type 1 NPI

Shavonne M. Russell, PTA

Physical Therapy Assistant · Richmond, VA

NPI number 1053635268 Active

Practice location

212 Biloxi Rd
Richmond, VA 23223-3310

Call (804) 326-9245 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306601563 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1053635268

Shavonne M. Russell, PTA's National Provider Identifier is 1053635268, issued on Mar 16, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Richmond, VA. The record was last updated on Mar 16, 2010.