IndividualActive
Abby Russell, ATC
NPI 1104347251 · Athletic Trainer · Spartanburg, SC
Provider details
- NPI number
- 1104347251
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 722 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 E Wood St
Spartanburg, SC 29303-3040
Phone: (864) 420-4942
Approximate (ZIP-level) locationGet directions
Mailing address
101 E Wood St
Spartanburg, SC 29303-3040
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2017-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.