Individual provider · Type 1 NPI
Stephanie Halliday Russo, LMP
Massage Therapist · Bellingham, WA
NPI number
1689797433
Active
Practice location
2301 Elm Street
Bellingham, WA 98225
Mailing address
3963 Squalicum Lake Road
Bellingham, WA 98226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00007448 (WA) |
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 1689797433
Stephanie Halliday Russo, LMP's National Provider Identifier is 1689797433, issued on Apr 9, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellingham, WA. The record was last updated on Jul 8, 2007.