SearchTexas2255A2300X

Dale Russell, MS, ATC, LAT

NPI 1043859358 · on the registry since 2020 · sole proprietor

Practice

Address
2820 Compton Rd
Wichita Falls, TX 76309
Phone
(940) 733-5879

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-03

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 Texas