Charlene Russell, LMT

NPI #1013303296 in Vancleave, Mississippi

Provider Information

NPI Number
1013303296
Entity Type
Individual
Name
Charlene Russell, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
LMT
Enumeration Date
Apr 14, 2015
Last Updated
Apr 14, 2015

Practice Location

Address
12603 HIGHWAY 57
ZIP Code
39565-7420
Phone
(228) 283-5083

Specialties & Taxonomy Codes

Specialty
Mechanotherapist
Massage Therapist

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