Individual
KATHRYN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COLUMBIA RD, COLORADO SPRINGS, CO 80904-1307
(206) 930-1948
Mailing address
415 COLUMBIA RD, COLORADO SPRINGS, CO 80904-1307
(206) 930-1948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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