IndividualActive
Aisha Russell, MS,LAT,ATC
NPI 1861932485 · Athletic Trainer · Baltimore, MD
Provider details
- NPI number
- 1861932485
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS,LAT,ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A0000551 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2500 W North Ave
Pec 131
Baltimore, MD 21216-3633
Phone: (410) 951-3728
Fax: (410) 951-6928
Approximate (ZIP-level) locationGet directions
Mailing address
2500 W North Ave
Baltimore, MD 21216-3633
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2017-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.