Megan Russell

NPI #1881135259 in Nampa, Idaho

Provider Information

NPI Number: 1881135259
Entity Type: Individual
Name: Megan Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 17, 2017
Last Updated: Mar 17, 2017

Practice Location

Address: 430 W IOWA AVE STE A
City: Nampa
State: Idaho
ZIP Code: 83686-2826
Phone: (208) 442-1123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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