person
Jason D Russell, DC
Chiropractor in Fort Wayne, Indiana
NPI 1215113089

Jason D Russell is a Chiropractor based in Fort Wayne, IN. Jason D Russell practices in Fort Wayne, IN and has the professional credentials of DC. The NPI Number for Jason D Russell is 1215113089 and holds a License No. 08002372A (Indiana).

The current practice location address for Jason D Russell is 1114 W Cook Rd, Fort Wayne, IN and can be reached out via phone at 260-483-5588 and via fax at 260-489-1819.

Location: 1114 W Cook Rd, Fort Wayne, IN, 46845-1916
person
Provider Profile Details
NPI Number
1215113089
Provider Name
Jason D Russell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1114 W Cook Rd, Fort Wayne, IN, 46845-1916
Phone Number
260-483-5588
Fax Number
260-489-1819
Provider Enumeration Date
01/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1114 W Cook Rd
City
State
Zip
46825-3214
Phone Number
260-483-5588
Fax Number
260-489-1819
person
Provider Business Mailing Address Details
Address
1114 W Cook Rd
City
State
Zip
46825-3214
Phone Number
260-483-5588
Fax Number
260-489-1819
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
08002372A (Indiana)
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.
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