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

Joel Russo, AT, ATC

Individual provider Athletic Trainer · NPI 1902203953

Joel Russo, AT, ATC is an Athletic Trainer in Centerville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2350 Miami Valley Dr
Centerville, OH 45459-4778
Phone: (937) 438-7755
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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 AT.004379 (OH)

Record details

NPI number1902203953
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorYes
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 19, 2014

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