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).
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 |
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 |
Street Address |
3915 GOLDEN VALLEY RD |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-4249 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55422 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | GOLDEN VALLEY |
Zip Code | 55422 |
Please comment or provide details below to improve the information on KELLY KRISTINA RUSS.
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.