Michael Russo, PT

NPI 1265737563 · on the registry since 2011 · sole proprietor

Practice

Address: 20301 Sw Acacia St Ste 150
Newport Beach, CA 92660
Phone: (949) 274-9551
Fax: (949) 264-8219
Organisation at this address: Treanor Chiropractic Corporation
Rising Sun Physical Therapy & Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-03-27

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 California