Mark Russell, OTR/L

NPI 1134463870 · on the registry since 2012 · sole proprietor

Practice

Address: 275 East Main Street
Frankfort, KY 40621
Phone: (502) 564-3756
Organisation at this address: First On Site
Department For Public Health
Department For Public Health
Kentucky Early Intervention Services
Premise Health Of Kentucky Medical Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-11-19

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 Kentucky