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Individual

LINDSEY RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
30646
AZ
225100000X
Physical Therapist
Primary
CP055592T
CO
225100000X
Physical Therapist
PT60440413
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0327667
WA L&I
WA
05
1518370014
WA
Enumeration date
06/03/2014
Last updated
05/14/2026
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