IndividualActive
Angelina Russo
NPI 1326872722 · Physical Therapist · Jackson, WY
Provider details
- NPI number
- 1326872722
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT-2435 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
120 W Pearl Ave
Jackson, WY 83001-8657
Phone: (307) 734-9129
Approximate (ZIP-level) locationGet directions
Mailing address
230 E Broadway Apt 609
Salt Lake City, UT 84111-2441
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.