IndividualActive
Alex Russo
NPI 1285461905 · Student in an Organized Health Care Education/Training Program · Columbia, SC
Provider details
- NPI number
- 1285461905
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1300 Wheat St
Columbia, SC 29201-4347
Phone: (908) 914-5444
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Wheat St
Columbia, SC 29201-4347
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.