Individual provider · Type 1 NPI

Trenton Russell

Massage Therapist · Longview, TX

NPI number 1073393864 Active

Practice location

116 E South St
Longview, TX 75601-7437

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT137200 (TX)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1073393864

Trenton Russell's National Provider Identifier is 1073393864, issued on Sep 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on Sep 29, 2023.