ELIZABETH RUSSELL

KYLE, TX
NPI1750701538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  AT3164)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
ELIZABETH RUSSELL ATC, LAT
21003 IH 35
KYLE, TX 78640-4745
Phone number: 512-268-2141
Mailing Address
ELIZABETH RUSSELL ATC, LAT
21003 IH 35
KYLE, TX 78640-4745
Phone number: 512-268-2141