Individual
ALLISON RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
130 W SACKETT AVE UNIT C, SALIDA, CO 81201-2007
(719) 626-1554
Mailing address
PO BOX 1623, SALIDA, CO 81201-1648
(719) 626-1554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0025719
CO
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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