National Provider Identifier
Cheryl Ann Russell, PTA
Cheryl Ann Russell, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Canandaigua, NY and a listed phone number of (585) 393-7529.
Profile Overview
- NPI
- 1144318080
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7529
Mailing Address
- 7042 W Main RD
- Lot 6
- Lima, NY 14485-9565
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1144318080
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Cheryl
- Middle Name
- Ann
- Name Prefix
- Mr.
- Credential
- PTA
- Mailing Street Address
- 7042 W Main RD
- Mailing Address Line 2
- Lot 6
- Mailing City
- Lima
- Mailing State
- NY
- Mailing ZIP Code
- 14485-9565
- Mailing Country
- US
- Mailing Phone
- (585) 455-7901
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7529
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)