Jodi Lynn Russell, MS, ATC
Specialist/Technologist, Athletic Trainer in Wyomissing, PA. Individual provider (NPI-1).
NPI number1780967166
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1780967166
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jodi Lynn Russell
- Credential
- MS, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | rt004416 | PA | Yes |
Practice location
1350 Broadcasting RdSuite 201
Wyomissing, PA 19610-3229
Phone 610-685-9600 · Fax 610-685-6700
Mailing address
1350 Broadcasting RdSuite 201
Wyomissing, PA 19610-3229
Phone 610-685-9600 · Fax 610-685-6700
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All 16 Athletic Trainer providers in Wyomissing · All 1,682 providers in Wyomissing
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