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

Dr. Jeffrey Alan Russell, PHD, AT

Individual provider Athletic Trainer · NPI 1912072257

Dr. Jeffrey Alan Russell, PHD, AT is an Athletic Trainer in Athens, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

Shape Clinic Putnam Hall 304 96 E Union St
Athens, OH 45701
Phone: (740) 593-1829
Fax: (740) 593-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT003998 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence 000060285

Record details

NPI number1912072257
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , AT
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 31, 2019

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