Individual
ASPEN SUMMIT RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 6TH AVE N UNIT 303, SEATTLE, WA 98109-4294
(435) 720-4137
Mailing address
708 6TH AVE N UNIT 303, SEATTLE, WA 98109-4294
(435) 720-4137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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