Individual
LINETTE JACQUELINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 GREEN ST STE 306, AUGUSTA, ME 04330-7411
(207) 802-0788
(888) 388-2696
Mailing address
75 MAIN ST, READFIELD, ME 04355-3000
(207) 513-2156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5617
ME
Other
Enumeration date
09/23/2021
Last updated
08/25/2025
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