Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELE RUSSELL
Active Sole ProprietorMICHELE RUSSELL is a Massage Therapist healthcare provider located in GOREVILLE, Illinois. NPI 1346056918 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GOREVILLE, IL
Registration Details
- NPI Number
- 1346056918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2024 (1.6556530159042 yrs)
- Last Updated
- Dec 9, 2024
- License
-
227014287 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7655 TUNNEL HILL RDGOREVILLE, IL, 629392820Browse IL providers · Browse ZIP 62939
- Phone
- 6189262456
- 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.