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

Kelley Nichelle Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1790971737

Kelley Nichelle Russell, PTA is a Physical Therapy Assistant in Zephyrhills, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

38051 Market Sq
Zephyrhills, FL 33542-7504
Phone: (813) 779-2057
Fax: (813) 779-2066
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 PTA19233 (FL)

Record details

NPI number1790971737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007

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