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Kelsey Russell, PTA
NPI 1972262061 · on the registry since 2021
Practice
- Address
- 1017 Stinson Ave
Mattoon, IL 61938 - Phone
- (217) 232-1660
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-22
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