Stacey Jo Russell, PTA
Stacey Jo Russell, PTA is a Physical Therapy Assistant in Riverside, Missouri. Licensed in Iowa and Missouri. Registered with an NPI since 2012.
- Licensed in
- IA, MO
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
4700 NW Cliff View DrRiverside, MO 64150-1237
Phone: (816) 741-5105
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2015030162 (MO) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 001388 (IA) |
Record details
| NPI number | 1033462114 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | October 26, 2012 |
| Last updated in NPPES | May 25, 2020 |
| Certification date | May 25, 2020 |
Other providers in Riverside
-
Elizabeth Danielle Ham
4700 NW Cliff View Dr, Riverside, MO 64150-1237 · (816) 741-5105
-
Shelby Jennings Sailor, PTA
220 NW Platte Valley Dr, Riverside, MO 64150-9793 · (816) 741-6374