Individual provider · Type 1 NPI

Tavon Carey Russell

Massage Therapist · Killeen, TX

NPI number 1750295804 Active

Practice location

4008 E Stan Schlueter Loop Ste 108-109
Killeen, TX 76542-8536

Fax (254) 245-8022

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT147644 (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 1750295804

Tavon Carey Russell's National Provider Identifier is 1750295804, issued on Sep 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Killeen, TX. The record was last updated on Sep 28, 2026.