Daniel Stark Russon
DPT, PT
Physical Therapist
About Daniel Stark Russon
Daniel Stark Russon, DPT, PT, is a male healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1962242669. Daniel Stark Russon received his medical education at OTHER, graduating in 2024.
Their primary practice is located at 931 CENTER ST W STE C, Kimberly, Idaho 83341. Patients can reach the office at (208) 423-9999. Daniel Stark Russon has been NPI-registered since 2024.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1962242669
- Entity Type
- Individual
- First Name
- Daniel
- Last Name
- Russon
- Credential
- DPT, PT
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2024
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 931 CENTER ST W STE C
- City
- Kimberly
- State
- Idaho
- ZIP
- 83341-5326
- Country
- United States
- Phone
- (208) 423-9999
- Fax
- (208) 423-9998
Specialty & Taxonomy
- Primary Specialty
- Physical Therapist
- Classification
- Physical Therapist
- Taxonomy Code
- 225100000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1411 FALLS AVE E STE 401
- City
- TWIN FALLS
- State
- ID
- ZIP
- 833013455
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Daniel Stark Russon's NPI number?
What does Daniel Stark Russon specialize in?
Where is Daniel Stark Russon located?
Does Daniel Stark Russon accept Medicare?
Does Daniel Stark Russon offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Daniel Stark Russon is 1962242669.