Individual provider · Type 1 NPI

Michelle Renee Russell, P.T.A

Physical Therapy Assistant · Lebanon, PA

NPI number 1205086949 Active

Practice location

900 Tuck St
Lebanon, PA 17042-7446

Mailing address

217 Redwood Ln
Lebanon, PA 17046-2039

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE002061L (PA)

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 1205086949

Michelle Renee Russell, P.T.A's National Provider Identifier is 1205086949, issued on Sep 30, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lebanon, PA. The record was last updated on Sep 30, 2008.