Russell, Michael D

Russell, Michael D is an individual health care provider with primary practice located at 3005 W Horizon Ridge Pkwy Ste 101 , Henderson NV 89052-5030. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Russell, Michael D can be contacted via phone (702) 840-2500.

Contact Information

Primary practice address
3005 W Horizon Ridge Pkwy Ste 101 Henderson NV 89052-5030
Phone: (702) 840-2500
Fax: (725) 234-1515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2143 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2143 Nevada

Profile Details

NPI number 1003012980
LBN Legal business name Russell, Michael D
Credentials PT,DPT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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