MARK DUANE RUSSELL ATC, CSCS
NPI 1306867049
Specialist/Technologist - Athletic Trainer in Saint Joseph, MI

Q: What is Mark Russell's NPI number?

The NPI number for Mark Russell is 1306867049. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Mark Russell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2006

3950 HOLLYWOOD RD STE 140, SAINT JOSEPH, MI 49085(269) 556-7150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark Duane Russell Atc, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK DUANE RUSSELL ATC, CSCS (NPI 1306867049) is an individual athletic trainer provider in Saint Joseph, Michigan and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306867049

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMARK DUANE RUSSELLCredential: ATC, CSCS

Location Address3950 HOLLYWOOD RD STE 140Saint Joseph, MI 49085-9151

Mailing Address4858 Sadler DrWatervliet, MI 49098-8703 · (269) 463-5859

Phone(269) 556-7150

Sole ProprietorYes

Enumeration DateJuly 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306867049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

3950 HOLLYWOOD RD STE 140, Saint Joseph, MI 49085

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA MICHELE GILLESPIE PT

Physical Therapist