Tasha Marie Russell, LMP
NPI #1033416425 in Battle Ground, Washington
Provider Information
- NPI Number
- 1033416425
- Entity Type
- Individual
- Name
- Tasha Marie Russell, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Feb 21, 2011
- Last Updated
- Feb 21, 2011
Practice Location
- Address
- 15 SW 20TH AVE
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604-3133
- Phone
- (360) 687-3181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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