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Organization

HEALING TOUCH MASSAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH M. RUSSELL LMP (MASSAGE THERAPIST)
(509) 989-0875
Entity
Organization

Contact information

Practice address
110 S BROADWAY AVE, OTHELLO, WA 99344-1346
(509) 989-0875
(509) 488-7224
Mailing address
110 S BROADWAY AVE, OTHELLO, WA 99344-1346
(509) 989-0875
(509) 488-7224

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015323
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0149997
L&I
WA
Enumeration date
04/02/2007
Last updated
07/02/2008
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