JULIE M RUSSELL

GREAT BEND, KS
NPI1669118527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-01047)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
JULIE M RUSSELL CPTA
4801 10TH ST
GREAT BEND, KS 67530-3252
Phone number: 620-792-7868
Mailing Address
JULIE M RUSSELL CPTA
2912 R RD
HAVILAND, KS 67059-4718
Phone number: 620-770-0490