Individual provider · Type 1 NPI
Michele Russell
Massage Therapist · Goreville, IL
NPI number
1346056918
Active
Practice location
7655 Tunnel Hill Rd
Goreville, IL 62939-2820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227014287 (IL) |
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.
About NPI 1346056918
Michele Russell's National Provider Identifier is 1346056918, issued on Dec 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Goreville, IL. The record was last updated on Dec 9, 2024.