Individual provider · Type 1 NPI

Jolene R. Russell, BA LMP

Massage Therapist · Olympia, WA

NPI number 1750457594 Active

Practice location

2417 Pacific Ave SE, Suite C
Olympia, WA 98501

Call (360) 528-8559 Map

Fax (360) 528-6827

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00014052 (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 1750457594

Jolene R. Russell, BA LMP's National Provider Identifier is 1750457594, issued on Nov 24, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Jul 8, 2007.