Individual provider · Type 1 NPI

Melisa Russell

Massage Therapist · Winnsboro, SC

NPI number 1851864086 Active

Practice location

119 N Congress St
Winnsboro, SC 29180-1118

Mailing address

212 Chatham Cir
Winnsboro, SC 29180-2607

Other practice locations

  • 3713 Covenant Rd, Columbia, SC 29204-4217 · (803) 718-3609
  • 7725 Saint Andrews Rd Ste 4, Irmo, SC 29063-2957 · (803) 718-3609

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6267 (SC)

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 1851864086

Melisa Russell's National Provider Identifier is 1851864086, issued on Jan 10, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winnsboro, SC. The record was last updated on Jan 10, 2019.