Most Relevant Information
Provider Data
| NPI Number: | 1003506569 |
| Provider Name: | ASHLEY RUSSELL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2023 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
207 W FRONT AVE
BISMARCK
ND
585045514
Practice Location Phone/Fax
| Phone: | 7017510994 |
| Fax: |
Provider Mailing Location
207 W FRONT AVE
BISMARCK
ND
585045514
Provider Mailing Phone/Fax
| Phone: | 7017510994 |
| Fax: |