Individual provider · Type 1 NPI
Kimberly J. Russell, P.T.
Orthopedic Physical Therapist · Los Angeles, CA
Practice location
135 S Barrington Pl
Los Angeles, CA 90049-3305
Fax (310) 472-4567
Mailing address
970 Monument Street, Suite 207
Pacific Palisades, CA 90272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 6220035-2401 (UT) |
| Orthopedic Physical Therapist Primary | 2251X0800X | 35709 (CA) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1992718837
Kimberly J. Russell, P.T.'s National Provider Identifier is 1992718837, issued on Aug 14, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 7, 2011.