Individual provider · Type 1 NPI

Russell Shannon Humphries, DC

Chiropractor · Port Orange, FL

NPI number 1497769210 Active

Practice location

4343 Ridgewood Avenue, Suite B
Port Orange, FL 32127

Call (386) 767-2727 Map

Fax (386) 767-6674

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH3773 (FL)

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.

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About NPI 1497769210

Russell Shannon Humphries, DC's National Provider Identifier is 1497769210, issued on Jul 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 8, 2007.