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Individual

REBECCA ANN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
2101 AIRLINE RD, CORPUS CHRISTI, TX 78414-2641
(361) 992-7100
Mailing address
121 E LAKE VIEW TRL, SANDIA, TX 78383-5662
(512) 915-6449

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT139620
TX

Other

Enumeration date
05/10/2025
Last updated
06/10/2025
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