NPI 1013213438

Tabby Jeane Russell

Practitioner Developmentally Disabled Services Day Training Agency Evansville, WY

Practice location

Address: 808 Silver Sage, Evansville, WY 82636-9532
Phone: (307) 251-2459

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wyoming →

Registry record

NPI: 1013213438
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2011
Record last updated: 2 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.