Andrea Russell
Andrea Russell is a Developmental Therapist in Rigby, Idaho. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
1200 Jaylee Dr Unit 1Rigby, ID 83442-5273
Phone: (208) 419-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1104769520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Russell — Intervention Professional · (208) 419-9383 |
| NPI enumerated | April 10, 2026 |
| Last updated in NPPES | May 13, 2026 |
| Certification date | May 13, 2026 |
| Mailing address | 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273 |