IndividualActive
Bradley Russell, DPT
NPI 1902459613 · Physical Therapist · Verona, WI
Provider details
- NPI number
- 1902459613
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 14739-24 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
416 E Verona Ave
Verona, WI 53593-1227
Phone: (608) 848-6628
Fax: (608) 848-6629
Approximate (ZIP-level) locationGet directions
Mailing address
416 E Verona Ave
Verona, WI 53593-1227
Additional practice locations (4)
- 3525 University AveMadison, WI 53705-2140Phone: (608) 467-3537
- 1215 Springdale StMount Horeb, WI 53572-2016Phone: (608) 437-0222
- 1266 W Main StSun Prairie, WI 53590-1918Phone: (608) 318-1357
- 223 S Century AveWaunakee, WI 53597-1249Phone: (608) 850-7275
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2019-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.