Individual
ELIZABETH M RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3132 50TH ST, SUITE B, LUBBOCK, TX 79413-4104
(806) 792-4041
(806) 209-0105
Mailing address
PO BOX 53428, LUBBOCK, TX 79453-3428
(806) 792-4041
(806) 209-0105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT031611
TX
Other
Enumeration date
09/13/2008
Last updated
09/13/2008
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