Individual provider · Type 1 NPI

Jennifer Lynn Russell, L M T

Specialist · Silverdale, WA

NPI number 1083877310 Active

Practice location

9621 Mickelberry Rd NW Ste 108
Silverdale, WA 98383-8301

Call (360) 692-5350 Map

Fax (360) 692-5354

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00020164 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083877310

Jennifer Lynn Russell, L M T's National Provider Identifier is 1083877310, issued on Jul 7, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Silverdale, WA. The record was last updated on Mar 21, 2024.