Russell Leif Stohl

NPI #1861066540 in Bothell, Washington

Provider Information

NPI Number: 1861066540
Entity Type: Individual
Name: Russell Leif Stohl
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 17, 2021
Last Updated: May 17, 2021

Practice Location

Address: 19717 112TH AVE NE APT B102
City: Bothell
State: Washington
ZIP Code: 98011-1775
Phone: (360) 631-6815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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