Individual provider · Type 1 NPI
Theresa Annemarie Russo
Chiropractor · El Lago, TX
NPI number
1063368223
Active
Practice location
315 Pebblebrook Dr
El Lago, TX 77586-6010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 16772 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1063368223
Theresa Annemarie Russo's National Provider Identifier is 1063368223, issued on Mar 9, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in El Lago, TX. The record was last updated on Mar 9, 2026.