Individual
BRENDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
8725 WADSWORTH BLVD, UNIT A, WESTMINSTER, CO 80003-0928
(303) 425-7298
(303) 940-8330
Mailing address
6880 GRAY DR, ARVADA, CO 80003-4256
(303) 425-7298
(303) 940-8330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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