Rylan Russell, MASSAGE THERAPIST
NPI #1629673009 in North Ogden, Utah
Provider Information
- NPI Number
- 1629673009
- Entity Type
- Individual
- Name
- Rylan Russell, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 2602 N. 400 E, LOWER LEVEL #5
- Address 2
- LOWER LEVEL #5
- City
- North Ogden
- State
- Utah
- ZIP Code
- 84414-8441
- Phone
- (801) 392-1767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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