Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Russell, ATC, LAT, CSCS, OTC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750753182

Zachary Russell, ATC, LAT, CSCS, OTC is a Student in an Organized Health Care Education/Training Program in Watkinsville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado and Georgia.

Licensed in
CO, GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Watkinsville, GA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 2200 Bonforte Blvd, Pueblo, CO 81001-4901 — (678) 481-6519

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence AT003715 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0001416 (CO)

Record details

NPI number1750753182
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , CSCS , OTC
Sole proprietorYes
NPI enumeratedOctober 26, 2015
Last updated in NPPESSeptember 27, 2019

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