Individual
MS. AMIE KATHRINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
107 W 29TH ST STE 100, LOVELAND, CO 80538-2200
(970) 663-6142
(970) 635-3087
Mailing address
4440 ARAPAHOE AVE, STE 101, BOULDER, CO 80303-9101
(970) 214-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10705
CO
Other
Enumeration date
05/27/2010
Last updated
01/28/2022
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