Individual
MR. MICHAEL D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT, CSCS
Contact information
Practice address
3005 W HORIZON RIDGE PKWY STE 101, HENDERSON, NV 89052-5030
(702) 840-2500
(725) 234-1515
Mailing address
3005 W HORIZON RIDGE PKWY STE 101, HENDERSON, NV 89052-5030
(702) 840-2500
(725) 234-1515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2143
NV
Other
Enumeration date
06/26/2007
Last updated
01/21/2025
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