Monica L Russell, LPTA
Individual provider Active NPI Physical Therapy Assistant · Parsons, TN
NPI 1992880926 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992880926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2366 (TN)
- Practice address
- 133 Jordan LN
Parsons, TN 38363-5078 - Phone
- (731) 847-7240
- Fax
- (731) 660-5972
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2366 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2366 | TN | Yes |
Addresses
Primary practice location
133 Jordan LN
Parsons, TN 38363-5078
Mailing address
320 Mayfield Rd
Henderson, TN 38340-4063
Phone (731) 989-9814
Other providers in Parsons, TN
- John B Phillips
- Kimothy Phillips
- Kristy Lynn Powers
- Tara Pratt
- Ronnie F Vise
- Nathan Glen Schwab
- Specialty Care
- Sherri Lynn Stubblefield
- Vickie C Summers
- Laura Taylor
All providers in Parsons, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.