Individual provider · Type 1 NPI
Elaine Marie Russell, LMP, MM, CBTP
Massage Therapist · Seattle, WA
NPI number
1104903947
Active
Practice location
5801 Phinney Avenue N,, Suite 100 Phinney Massage And Allied Healing Arts
Seattle, WA 98103
Fax (206) 432-9540
Mailing address
4601 Phinney Ave N, Apt. 304
Seattle, WA 98103-6383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60251984 (WA) |
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 1104903947
Elaine Marie Russell, LMP, MM, CBTP's National Provider Identifier is 1104903947, issued on Nov 1, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Oct 15, 2011.