Search › Ohio › 2255A2300X
Jeffrey Russell, PHD, AT
NPI 1912072257 · on the registry since 2006
Practice
- Address
- Shape Clinic, Putnam Hall 304
96 E Union St
Athens, OH 45701 - Phone
- (740) 593-1829
- Fax
- (740) 593-0289
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-31
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