Individual provider · Type 1 NPI

Jessika Lynn Russell

Physical Therapy Assistant · Winston Salem, NC

NPI number 1932782166 Active

Practice location

1199 Hayes Forest Dr
Winston Salem, NC 27106-3377

Call (336) 337-5113 Map

Mailing address

9923 Reynolda Rd
Tobaccoville, NC 27050-9729

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA5651 (NC)

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 1932782166

Jessika Lynn Russell's National Provider Identifier is 1932782166, issued on May 5, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winston Salem, NC. The record was last updated on May 5, 2021.