Individual
MRS. KATRIN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1304 E 6TH AVE, TALLAHASSEE, FL 32303-6506
(850) 224-2242
Mailing address
1304 E 6TH AVE, TALLAHASSEE, FL 32303-6506
(850) 224-2242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60775
FL
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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