Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Las Vegas Pain Relief Centers(russo), PC

Organization Sports Physician Chiropractor · NPI 1053754630

Las Vegas Pain Relief Centers(russo), PC is a Sports Physician Chiropractor in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2013.

Licensed in
NV
In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

58 N Pecos Rd
Henderson, NV 89074-7319
Phone: (702) 948-2520
Fax: (702) 948-2523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 4511 (NV)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence B00848 (NV)

Record details

NPI number1053754630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Petrick — Clinical Director · (702) 948-2520
Other names Las Vegas Pain Relief Center
NPI enumeratedApril 12, 2013
Last updated in NPPESMarch 2, 2015
Mailing address58 N Pecos Rd, Henderson, NV 89074-7319

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