Search › Ohio › 175T00000X
Shawnterra Russell
NPI 1063263416 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12608 Grimsby Ave
Cleveland, OH 44135 - Phone
- (330) 490-9395
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 372600000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-16
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 Ohio