Individual
MS. ELAINE MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, MM, CBTP
Contact information
Practice address
5801 PHINNEY AVENUE N,, SUITE 100 PHINNEY MASSAGE AND ALLIED HEALING ARTS, SEATTLE, WA 98103
(206) 963-3117
(206) 432-9540
Mailing address
4601 PHINNEY AVE N, APT. 304, SEATTLE, WA 98103-6383
(206) 963-3117
(206) 432-9540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60251984
WA
Other
Enumeration date
11/01/2006
Last updated
10/15/2011
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