Individual
TIFFINY ANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1220 AVENUE C, SUITE E, BILLINGS, MT 59102-3200
(406) 208-1924
Mailing address
1220 AVENUE C, SUITE E, BILLINGS, MT 59102-3200
(406) 208-1924
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
721
MT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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