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

Jacqueline Russo

Individual provider Physical Therapy Assistant · NPI 1750860458

Jacqueline Russo is a Physical Therapy Assistant in Auburndale, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018

Practice location Address checks out

120 Seminary Ave
Auburndale, MA 02466-2650
Phone: (617) 633-7100
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9508 (MA)

Record details

NPI number1750860458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address36 Francis St, Belmont, MA 02478-2220

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