Healthcare Provider Details

I. General information

NPI: 1629652821
Provider Name (Legal Business Name): ADRIENNE RUSSELL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 CHIEF JUSTICE CUSHING HWY STE 2
COHASSET MA
02025-2151
US

IV. Provider business mailing address

812 CHIEF JUSTICE CUSHING HWY STE 2
COHASSET MA
02025-2151
US

V. Phone/Fax

Practice location:
  • Phone: 781-923-1226
  • Fax: 781-923-1228
Mailing address:
  • Phone: 781-923-1226
  • Fax: 781-923-1228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI5217
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: