Individual provider · Type 1 NPI

Russell Lee Corcoran

Massage Therapist · The Woodlands, TX

NPI number 1700657392 Active

Practice location

10210 Grogans Mill Rd Ste 210
The Woodlands, TX 77380-1143

Call (936) 291-2582 Map

Mailing address

43 S Waxberry Rd
Spring, TX 77381-2836

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT137891 (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 1700657392

Russell Lee Corcoran's National Provider Identifier is 1700657392, issued on Jan 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in The Woodlands, TX. The record was last updated on Jan 11, 2024.