Doctor Name: | JAMIE LYNN RUSSELL |
NPI Number: | 1720401870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 12902 |
Business Practice Address: | 6001 State Highway 317 B Belton, TX - 765135464 |
Business Phone Number: | 9182846184 |
Business Fax Number: | |
Mailing Address: | 8332 Saddle Brook Dr Unit B, TEMPLE |
State: | TX |
Postal Code: | 765025654 |
Phone Number: | 9182846184 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2014 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 12902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |