IndividualActive
Brittany Russell, MAT, ATC, LAT
NPI 1619414935 · Athletic Trainer · Lebanon, KY
Provider details
- NPI number
- 1619414935
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- AT1074 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
703 E Main St
Lebanon, KY 40033-8695
Phone: (270) 699-9503
Approximate (ZIP-level) locationGet directions
Mailing address
214 Ahlena Way
Springfield, KY 40069-9568
Registry dates
- Enumerated
- 2017-01-24
- Last updated
- 2017-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.