Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLENE RUSSELL, LMT
Active Sole ProprietorCHARLENE RUSSELL, LMT is a Mechanotherapist healthcare provider located in VANCLEAVE, Mississippi. NPI 1013303296 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · VANCLEAVE, MS
Registration Details
- NPI Number
- 1013303296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2015 (11.293826889993 yrs)
- Last Updated
- Apr 14, 2015
- Licenses
-
35 (MS)35 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12603 HIGHWAY 57VANCLEAVE, MS, 395657420Browse MS providers · Browse ZIP 39565
- Phone
- 2282835083
- Primary Specialty
-
Mechanotherapist
172M00000X
- Additional Specialty
- Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.