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

Michelle Renee Russell, PTA

Individual provider Physical Therapy Assistant · NPI 1205086949

Michelle Renee Russell, PTA is a Physical Therapy Assistant in Lebanon, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

900 Tuck St
Lebanon, PA 17042-7446
Phone: (717) 273-8595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE002061L (PA)

Record details

NPI number1205086949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008

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