IndividualActive
Adam Russell
NPI 1811373293 · Physical Therapist · Derby, KS
Provider details
- NPI number
- 1811373293
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11-05077 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
234 W Greenway St
Derby, KS 67037-2641
Phone: (316) 788-6734
Fax: (316) 788-4529
Approximate (ZIP-level) locationGet directions
Mailing address
234 W Greenway St
Derby, KS 67037-2641
Registry dates
- Enumerated
- 2015-08-07
- Last updated
- 2023-01-25
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.