| Brooke Russell, DPT | |
|
321 Washington St, Prophetstown, IL 61277-1105 | |
| (815) 537-8899 | |
| Not Available |
| Full Name | Brooke Russell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 321 Washington St, Prophetstown, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952791402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 076375 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rock Valley Physical Therapy Center | 9638087877 | 212 |
| Provider Name | Rock Valley Physical Therapy Center |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Russell, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Brooke Russell, DPT 321 Washington St, Prophetstown, IL 61277-1105 Ph: (815) 537-8899 |
Mrs. Abigail M Temple, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 | |
Kristie L Boll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 Fax: 815-537-8802 | |
Richa S Vaidya, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E 3rd St, Prophetstown, IL 61277 Phone: 847-347-5254 |