Individual provider · Type 1 NPI

Jacob Aaron Russell, PT, DPT

Physical Therapist · Benton, IL

NPI number 1356228142 Active

Practice location

1104 W Main St
Benton, IL 62812-1565

Fax (618) 439-4801

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070029347 (IL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1356228142

Jacob Aaron Russell, PT, DPT's National Provider Identifier is 1356228142, issued on Aug 21, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Benton, IL. The record was last updated on Aug 28, 2025.