Individual
KRISTIE RUSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 S BELL ST, EDGEWOOD, IA 52042-8543
(952) 920-8380
Mailing address
4725 MERLE HAY RD, DES MOINES, IA 50322-1983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103229
—
Other
Enumeration date
03/13/2008
Last updated
05/25/2016
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