Individual provider · Type 1 NPI
Timothy Wade Russell, DC
Chiropractor · Remsen, IA
NPI number
1306048491
Active
Practice location
325 E. Hawkeye Ave.
Remsen, IA 51050-0086
Fax (712) 786-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | A0 5501 (IA) |
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 1306048491
Timothy Wade Russell, DC's National Provider Identifier is 1306048491, issued on Jun 1, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Remsen, IA. The record was last updated on Jul 8, 2007.