person
Russell Shannon Humphries, DC
Chiropractor in Port Orange, Florida
NPI 1497769210

Russell Shannon Humphries is a Chiropractor based in Port Orange, FL. Russell Shannon Humphries practices in Port Orange, FL and has the professional credentials of DC. The NPI Number for Russell Shannon Humphries is 1497769210 and holds a License No. CH3773 (Florida).

The current practice location address for Russell Shannon Humphries is 4343 Ridgewood Avenue, Port Orange, FL and can be reached out via phone at 386-767-2727 and via fax at 386-767-6674.

Location: 4343 Ridgewood Avenue, Port Orange, FL, 32127
person
Provider Profile Details
NPI Number
1497769210
Provider Name
Russell Shannon Humphries
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4343 Ridgewood Avenue, Port Orange, FL, 32127
Phone Number
386-767-2727
Fax Number
386-767-6674
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4343 Ridgewood Avenue
City
State
Zip
32127
Phone Number
386-767-2727
Fax Number
386-767-6674
person
Provider Business Mailing Address Details
Address
4343 Ridgewood Avenue
City
State
Zip
32127
Phone Number
386-767-2727
Fax Number
386-767-6674
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH3773 (Florida)
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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