Individual provider · Type 1 NPI

Jessica Jean Russell, LMT

Massage Therapist · Missoula, MT

NPI number 1407120967 Active

Practice location

219 S 4th St E
Missoula, MT 59801-2725

Call (406) 493-9507 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X670 (MT)

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 1407120967

Jessica Jean Russell, LMT's National Provider Identifier is 1407120967, issued on Mar 1, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Mar 1, 2012.