Individual provider · Type 1 NPI

Jennifer C. Russell, LMT

Massage Therapist · Williamsville, NY

NPI number 1265671143 Active

Practice location

400 International Dr
Williamsville, NY 14221-5760

Fax (716) 204-2998

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X009520-1 (NY)

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 1265671143

Jennifer C. Russell, LMT's National Provider Identifier is 1265671143, issued on Feb 17, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Feb 17, 2009.