Individual
REBECCA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16045 W 13TH PL, GOLDEN, CO 80401-2916
(978) 621-3351
Mailing address
16045 W 13TH PL, GOLDEN, CO 80401-2916
(978) 621-3351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/14/2015
Last updated
06/15/2023
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