Individual provider · Type 1 NPI

Jean Danielle Russo, LMT, MMP

Massage Therapist · Houston, TX

NPI number 1255592184 Active

Practice location

11222 Richmond Ave, Suite 210
Houston, TX 77082-6662

Call (832) 594-8705 Map

Fax (281) 752-5069

Mailing address

12123 Ella Lee Ln
Houston, TX 77077-6032

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT021253 (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 1255592184

Jean Danielle Russo, LMT, MMP's National Provider Identifier is 1255592184, issued on Jun 23, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Houston, TX. The record was last updated on Jun 23, 2008.