IndividualActive
Jasmin Russo, PT, DPT
NPI 1619712957 · Pediatric Physical Therapist · Madison, WI
Provider details
- NPI number
- 1619712957
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1675 Highland Ave
Madison, WI 53792-0002
Phone: (608) 263-7337
Approximate (ZIP-level) locationGet directions
Mailing address
1675 Highland Ave
Madison, WI 53792-0002
Registry dates
- Enumerated
- 2024-06-27
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.