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Organization

MASSAGE CONNEXION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLENE RUSSELL LMT (DIRECTOR)
(228) 283-5083
Entity
Organization

Contact information

Practice address
12603 HIGHWAY 57, VANCLEAVE, MS 39565-7420
(228) 283-5083
Mailing address
PO BOX 5667, VANCLEAVE, MS 39565-5667
(228) 283-5083

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
225700000X
Massage Therapist
Primary
35
MS
225700000X
Massage Therapist

Other

Enumeration date
04/14/2015
Last updated
02/05/2016
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