NPI 1447939228
Shannon Russell, CTRS
Practice location
- Address
- 4100 W 3rd St, Dayton, OH 45428-9000
- Phone
- (937) 268-6511
- Mailing address
- 2930 Markbreit Ave APT 4, Cincinnati, OH 45209-2000
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1447939228
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2023
- Record last updated
- 18 Jul 2023
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.