Individual
KATIE SUE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 LEE ROAD 175, SALEM, AL 36874
(706) 573-1905
Mailing address
5665 LEE ROAD 175, SALEM, AL 36874
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
1-179556
AL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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