Russo, Kristin B

Russo, Kristin B is an individual health care provider with primary practice located at 5070 W Rawson Ave , Franklin WI 53132-9448. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Russo, Kristin B can be contacted via phone (414) 377-9765.

Contact Information

Primary practice address
5070 W Rawson Ave Franklin WI 53132-9448
Phone: (414) 377-9765
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070014170 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10259024 Wisconsin

Profile Details

NPI number 1730118423
LBN Legal business name Russo, Kristin B
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 27th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730118423 NPPES
Wisconsin MEDICAID 40441700
Wisconsin Other 11454657

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