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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60251984 (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.