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Individual

RUSSELL H RICHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
10207 HIGH NOON DR, SAN ANTONIO, TX 78254-1956
(214) 730-1271
Mailing address
10207 HIGH NOON DR, SAN ANTONIO, TX 78254-1956
(214) 730-1271

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
110098
TX
225700000X
Massage Therapist
Primary
12794
CA
225700000X
Massage Therapist
16037
MA

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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