IndividualActive
Alexander Russell, PT, DPT, CSCS
NPI 1750156956 · Physical Therapist · Avon, CT
Provider details
- NPI number
- 1750156956
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 27263 (MA)
Mailing address
60 Market St Ste 130
Avon, CT 06001-4282
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.