Search › Missouri › 225200000X
Stacey Russell, PTA
NPI 1033462114 · on the registry since 2012
Practice
- Address
- 4700 Nw Cliff View Dr
Riverside, MO 64150 - Phone
- (816) 741-5105
- Organisation at this address
- Pinnacle Point Wellness & Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- IA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-25
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