MRS. Stephanie Ann Russell, RN, LMT

NPI #1790425551 in Mannford, Oklahoma

Provider Information

NPI Number: 1790425551
Entity Type: Individual
Name: MRS. Stephanie Ann Russell, RN, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: RN, LMT
Enumeration Date: Mar 30, 2022
Last Updated: Mar 30, 2022

Practice Location

Address: 35266 W HWY 33
City: Mannford
State: Oklahoma
ZIP Code: 74044
Phone: (918) 330-3835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Massage Therapist	225700000X	Primary

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