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Dr. Kerry Bruce Russell, DC,CCSP
Sports Physician Chiropractor in Traverse City, Michigan
NPI 1093714222

Kerry Bruce Russell is a Sports Physician Chiropractor based in Traverse City, MI and is specialized in Sports Physician. Kerry Bruce Russell practices in Traverse City, MI and has the professional credentials of DC,CCSP. The NPI Number for Kerry Bruce Russell is 1093714222 and holds a License No. KR007665 (Michigan).

The current practice location address for Kerry Bruce Russell is 692 Hannah Ave, Traverse City, MI and can be reached out via phone at 231-947-2228 and via fax at 231-947-2616.

Location: 692 Hannah Ave, Traverse City, MI, 49686-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093714222
Provider Name
Kerry Bruce Russell
Credential
DC,CCSP
Provider Entity Type
Individual
Gender
Male
Address
692 Hannah Ave, Traverse City, MI, 49686-3110
Phone Number
231-947-2228
Fax Number
231-947-2616
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4417133 05 MI
P99464 01 MI BLUE CARE NETWORK
U72489 01 MI PRIORITY HEALTH
611406599 01 MI PPOM
15934 01 MI MCARE
950B850440 01 MI BCBSM PPO
institution
Provider Business Practice Location Address Details
Address
692 Hannah Ave
City
Traverse City
State
Michigan
Zip
49686-3110
Phone Number
231-947-2228
Fax Number
231-947-2616
person
Provider Business Mailing Address Details
Address
692 Hannah Ave
City
Traverse City
State
Michigan
Zip
49686-3110
Phone Number
231-947-2228
Fax Number
231-947-2616
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
Sports Physician
Taxonomy
111NS0005X
License No.
KR007665 (Michigan)
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
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