NPI 1083672588

Jan Renee Russell, PTA

Practitioner Physical Therapy Assistant Carlisle, PA

Practice location

Address: 419 Village Dr STE 3, Carlisle, PA 17013
Phone: (717) 240-0330
Fax: (717) 240-0233
Mailing address: 433 Arch Street, Carlisle, PA 17013

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence TE000975L (PA)

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Registry record

NPI: 1083672588
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2006
Record last updated: 13 Jul 2026

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.