Individual
RHONDA RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1315 HIGHWAY 2 STE 5, SANDPOINT, ID 83864-2724
(208) 627-2129
Mailing address
PO BOX 1182, SANDPOINT, ID 83864-0859
(208) 627-2129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2246
ID
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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