Individual
NICOLE RUSSECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT, HTP
Contact information
Practice address
701 HYDE PARK, DOYLESTOWN, PA 18902-6612
(267) 614-1921
Mailing address
11 CYNWYD DR, BURLINGTON, NJ 08016-2357
(267) 614-1921
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG009326
PA
Other
Enumeration date
03/19/2024
Last updated
03/20/2024
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