Individual
MS. BILLIE CHERIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT.MMP
Contact information
Practice address
3735 G RD, PALISADE, CO 81526-8613
(970) 250-9365
Mailing address
3735 G RD, PALISADE, CO 81526-8613
(970) 250-9365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2423
CO
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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