KELLY KRISTINA RUSS


Address: 3915 Golden Valley Rd, Golden Valley, MN 55422-4249
Phone: 6128684885

KELLY KRISTINA RUSS (NPI# 1174989313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174989313
Entity Type Individual
Full Name KELLY KRISTINA RUSS
Credential DPT
Practice Address 3915 Golden Valley Rd
Golden Valley
MN 55422-4249
Mailing Address 5450 Vagabond Ln N
Plymouth
MN 55446-1309
Practice Telephone 6128684885
Mailing Telephone 7634786893
Enumeration Date 2016-01-04
Last Update Date 2016-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
10160 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3915 GOLDEN VALLEY RD
City GOLDEN VALLEY
State MN
Zip Code 55422-4249

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992795280 Courage Center Durable Medical Equipment & Medical Supplies 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2005-10-27
1770119703 Anne Christine Mackin Emanuel Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2020-03-21
1457910820 Emily Laura Baumgard Speech-Language Pathologist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2019-06-10
1255827515 Abigail Mccall Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2018-07-10
1962996074 Daniel Lawrence Lafontaine Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2018-06-21
1386092062 Laura Kathryn Hampson Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2016-06-02
1720435282 Ashley Ann Roiger Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2016-05-15
1760853501 Katherine Tonsager Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2015-10-19
1205203650 Rita Hendrickson Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2015-09-01
1265809974 Rebecca Worthington Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2015-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966794 Trevor Velin Chiropractor Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 2019-11-07
1780165134 American Current Care of Minnesota PC Clinic/Center 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 2018-08-23
1366928426 Creekside Family Dental Pllc Dentist Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 2018-07-12
1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
1821582115 Ajaa Oliver Registered Nurse 3606 Zenith Ave N, Robbinsdale, MN 55422 2018-06-19
1306348024 Leila Jean Erlandson Marriage & Family Therapist Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 2018-03-08
1467969907 Minneapolis Health Clinic Pllc Internal Medicine 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 2018-01-05
1275049116 Lake Town Homecare, LLC In Home Supportive Care 4119 Scott Ave N, Robbinsdale, MN 55422 2017-12-14
1750894002 Unihealth Home Care, LLC Home Health 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 2017-11-08
1194172296 Crosscultural Health Care Inc Home Health 5801 Duluth Street Suite 310, Golden Valley, MN 55422 2016-05-18
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144236688 Soderberg Physical Therapy LLC Physical Therapist 2040 Douglas Dr N, Suite 203, Golden Valley, MN 55422-3944 2006-08-01
1205203650 Rita Hendrickson Physical Therapist 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 2015-09-01
1104927169 Eldon Soderberg Physical Therapist 2040 Douglas Dr N, Suite 203, Golden Valley, MN 55422-3944 2006-09-25
1144321159 Sandra Soderberg Physical Therapist 2040 Douglas Dr N, Suite 203, Golden Valley, MN 55422-3944 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063930493 Thomas Broback Physical Therapist 14382 60th St N, Stillwater, MN 55082-6311 2017-09-06
1134667686 Tiffany Moriarity Physical Therapist 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 2017-02-04
1437603016 Mark Deschepper Physical Therapist 1600 University Ave W # 10, Saint Paul, MN 55104-3898 2016-08-11
1750757522 Caleb Vizina Physical Therapist 1116 County Road 6 Sw, Howard Lake, MN 55349 2015-08-17
1467867010 Andrea Price Physical Therapist 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 2014-06-23
1124431481 John E Amundson Physical Therapist 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 2014-06-04
1285975078 Jacob Allen Wendland Physical Therapist 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 2013-03-05
1740524867 Lisa Zeman Physical Therapist 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 2012-11-15
1326309709 Jacob Kretschmar Physical Therapist 13274 53rd St Ne, Spicer, MN 56288-9437 2012-06-02
1225279516 Patricia F Knecht Physical Therapist 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 2009-03-16
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Competitor

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City GOLDEN VALLEY
Zip Code 55422

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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