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

Kelsey Russo

Individual provider Athletic Trainer · NPI 1467993626

Kelsey Russo is an Athletic Trainer in Lake Ariel, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2362 Tanglewood Ln
Lake Ariel, PA 18436
Phone: (570) 862-8842
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (PA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2255A2300 (PA)

Record details

NPI number1467993626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESMarch 20, 2017

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