Individual provider · Type 1 NPI
Gail Lyn Russell, LPTA
Physical Therapy Assistant · Oblong, IL
Practice location
5224 N. 200th St
Oblong, IL 62449
Fax (618) 546-2635
Mailing address
1000 N Allen St
Robinson, IL 62454-1167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | None listed |
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 …
About NPI 1124220082
Gail Lyn Russell, LPTA's National Provider Identifier is 1124220082, issued on Jun 4, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oblong, IL. The record was last updated on Jul 8, 2007.