| Doctor Name: | HOWARD MICHAEL RUSSELL |
| NPI Number: | 1336211226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPT |
| License Number: | 0287 |
| Business Practice Address: | 3325 Pocahontas Road St Elizabeth Health Services Baker City, ID - 978141464 |
| Business Phone Number: | 5415238130 |
| Business Fax Number: | 5415231793 |
| Mailing Address: | Po Box 198, HARRISON |
| State: | ID |
| Postal Code: | 838330198 |
| Phone Number: | 2087555704 |
| Fax Number: | 2086893183 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0287 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| 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 |