Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY RUSSELL
Active Sole ProprietorMISTY RUSSELL is a Massage Therapist healthcare provider located in PERRYSVILLE, Indiana. NPI 1225672637 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PERRYSVILLE, IN
Registration Details
- NPI Number
- 1225672637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2019 (6.8320647746372 yrs)
- Last Updated
- Oct 30, 2019
- License
-
227.021427 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
420 GREEN STPERRYSVILLE, IN, 47974Browse IN providers · Browse ZIP 47974
- Phone
- 8122017403
- Primary Specialty
-
Massage Therapist
225700000X
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.