SearchMissouriPhysician Assistant

Raquel Russo, PA-C

NPI 1013545607 · on the registry since 2020

Practice

Address
13353 Olive Blvd
Chesterfield, MO 63017
Phone
(636) 778-2900
Fax
(636) 778-2828
Organisation at this address
Jwb Chiropractic Pc
Bluetail Medical Group, Llc.
Integrated Medicine And Chiropractic Regeneration Center O
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri