Individual provider · Type 1 NPI
Elizabeth M. Russell, LMT
Massage Therapist · Lubbock, TX
NPI number
1235388380
Active
Practice location
3132 50th St, Suite B
Lubbock, TX 79413-4104
Fax (806) 209-0105
Mailing address
PO Box 53428
Lubbock, TX 79453-3428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT031611 (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 1235388380
Elizabeth M. Russell, LMT's National Provider Identifier is 1235388380, issued on Sep 13, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lubbock, TX. The record was last updated on Sep 13, 2008.