Katie Sue Russell, is a
Registered Nurse - Nurse Massage Therapist (nmt) based in Salem, Alabama. Katie Sue Russell is licensed to practice in Alabama (license number 1-179556) and her current practice location is
5665 Lee Road 175, Salem, Alabama. She can be reached at her office (for appointments etc.) via phone at
(706) 573-1905.
NPI number for Katie Sue Russell is 1528916012 and her current mailing address is 5665 Lee Road 175, Salem, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528916012.
Provider's Profile
| Full Name | Katie Sue Russell |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Nurse Massage Therapist (nmt) |
|---|
| Location | 5665 Lee Road 175, Salem, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528916012
- Provider Enumeration Date: 03/19/2026
- Last Update Date: 03/19/2026
Medical Identifiers
Medical identifiers for Katie Sue Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528916012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | 1-179556 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Sue Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katie Sue Russell, 5665 Lee Road 175, Salem, AL 36874 Ph: () - | Katie Sue Russell, 5665 Lee Road 175, Salem, AL 36874 Ph: (706) 573-1905 |
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