Jacob Russell, PT, DPT

NPI 1356228142 · on the registry since 2025

Practice

Address: 1104 W Main St
Benton, IL 62812
Phone: (618) 439-3399
Fax: (618) 439-4801
Organisation at this address: Rci (Wrs), Llc
Select Physical Therapy Holdings, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-28

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 Illinois