RUSSELL CHRISCHILLES

STORM LAKE, IA
NPI1740540640
Other NameRUSS CHRISCHILLES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  0618)
Enumeration Date2012-05-24
Last Update Date2012-05-24
Business Address
Mr. RUSSELL CHRISCHILLES PTA-BA
1525 W 5TH ST
STORM LAKE, IA 50588-3027
Phone number: 712-213-8674
Mailing Address
Mr. RUSSELL CHRISCHILLES PTA-BA
503 LAKEVIEW LN
LAKESIDE, IA 50588-7653
Phone number: 712-732-1645
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