Individual
WILLIAM RUSSELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
22130 6850 RD # 67, MONTROSE, CO 81403-6304
(970) 312-5958
Mailing address
1918 S TOWNSEND AVE # 224, MONTROSE, CO 81401-5447
(970) 312-5958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025185
CO
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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