Individual
RUSSELL JENSON PAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
475 N REDWOOD RD UNIT 46, SALT LAKE CITY, UT 84116-3766
(503) 440-9022
Mailing address
475 N REDWOOD RD UNIT 46, SALT LAKE CITY, UT 84116-3766
(503) 440-9022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6254871-4701
UT
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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