Individual
MRS. THERESA DELORES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11577 RIO SECCO RD, PEYTON, CO 80831-4031
(757) 450-5773
Mailing address
11577 RIO SECCO RD, PEYTON, CO 80831-4031
(757) 450-5773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12203
CO
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us