Individual provider · Type 1 NPI
Katelin Lee Ann Russell, DC
Chiropractor · Swansea, IL
NPI number
1659140796
Active
Practice location
18 Emerald Ter
Swansea, IL 62226-2321
Fax (618) 234-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.014099 (IL) |
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 1659140796
Katelin Lee Ann Russell, DC's National Provider Identifier is 1659140796, issued on Jan 1, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Swansea, IL. The record was last updated on Jan 1, 2024.