Individual provider · Type 1 NPI

Russell Christopher Montalvo, LMT

Massage Therapist · College Station, TX

NPI number 1780910430 Active

Practice location

3975 State Highway 6 S Ste 700
College Station, TX 77845-5899

Call (979) 696-2000 Map

Mailing address

1411 Dayton Ct
College Station, TX 77845-9496

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT107119 (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 1780910430

Russell Christopher Montalvo, LMT's National Provider Identifier is 1780910430, issued on Oct 29, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in College Station, TX. The record was last updated on Nov 4, 2009.