| Doctor Name: | KRISTA RUSSELL |
| NPI Number: | 1235336462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 010164 |
| Business Practice Address: | 100 Grand St New Britain, CT - 060522016 |
| Business Phone Number: | 8602245121 |
| Business Fax Number: | |
| Mailing Address: | 603 Cat Tail Ln, MANCHESTER |
| State: | CT |
| Postal Code: | 060427104 |
| Phone Number: | 7403742107 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 010164 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |