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

Danielle Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1871229591

Danielle Russell, PTA is a Physical Therapy Assistant in South Bend, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1010 Robert Bush Dr W
South Bend, WA 98586
Phone: (360) 875-5543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P160280156 (WA)

Record details

NPI number1871229591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 14, 2022
Mailing address37 Penny Ln, Raymond, WA 98577-9002

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