Roberta D Russell, LMT
NPI #1962782979 in Camp Verde, Arizona
Provider Information
- NPI Number
- 1962782979
- Entity Type
- Individual
- Name
- Roberta D Russell, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Mechanotherapist
- Credential
- LMT
- Enumeration Date
- Aug 22, 2011
- Last Updated
- Aug 22, 2011
Practice Location
- Address
- 3964 W SHEA LN
- City
- Camp Verde
- State
- Arizona
- ZIP Code
- 86322-8530
- Phone
- (928) 451-2588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mechanotherapist |
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