Organization
RUSSELL CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIE KATHLEEN CROTTS (PROGRAM DEVELOPMENT MANAGER)
(620) 275-0291
Entity
Organization
Contact information
Practice address
714 BALLINGER ST, GARDEN CITY, KS 67846-5918
(620) 275-0291
(620) 275-0364
Mailing address
714 BALLINGER ST, GARDEN CITY, KS 67846-5918
(620) 275-0291
(620) 275-0364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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