Jodi Lynn Russell, MS, ATC

Athletic Trainer · Wyomissing, PA

Individual Active NPI

NPI number 1780967166

Practice location

1350 Broadcasting Rd
Suite 201
Wyomissing, PA 19610-3229
Phone
(610) 685-9600
Fax
(610) 685-6700

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NPI record

NPI
1780967166
Entity type
Individual (Type 1)
Enumeration date
September 22, 2011
Last updated
September 22, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X RT004416 PA

About Jodi Russell

Jodi Lynn Russell, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1350 Broadcasting Rd, Suite 201, Wyomissing, PA 19610-3229. The NPI number 1780967166 was assigned on September 22, 2011 and the record was last updated on September 22, 2011.

Jodi Russell lists a license in the registry: #RT004416 (PA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jodi Lynn Russell, MS, ATC?

The NPI number is 1780967166.

What is the phone number of Jodi Russell?

The phone number listed for the practice location is (610) 685-9600.

Where is Jodi Russell located?

1350 Broadcasting Rd, Suite 201, Wyomissing, PA 19610-3229.

What is the taxonomy code for Jodi Russell?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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