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

Individual provider Physical Therapist · NPI 1225315849

Michelle Jean Russell, DPT is a Physical Therapist in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5538 N Shasta Dr
Glendale, WI 53209-4925
Phone: (920) 540-8626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11860-24 (WI)

Record details

NPI number1225315849
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 10, 2011
Last updated in NPPESMarch 13, 2014

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