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

Individual provider Physical Therapy Assistant · NPI 1609582576

Russell Simmons is a Physical Therapy Assistant in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
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Practice location Address checks out

1225 Triumph Ct
Las Vegas, NV 89117-7122
Phone: (248) 930-2554
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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 A-1331 (NV)

Record details

NPI number1609582576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

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