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NPI Code Detail

MEDICARE: MISS HILLARY RUSSELL LMP

MEDICARE: MISS HILLARY RUSSELL LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00016967WA

General Provider Information

NPI Number : 1518173053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HILLARY RUSSELL LMP
Provider Business Mailing Address
First Line : 10301 NE 10TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-4213
Country : US
Telephone Number : 425-990-0043
Fax Number : 425-990-8043
Provider Business Practice Location Address
First Line : 10301 NE 10TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-4213
Country : US
Telephone Number : 425-990-0043
Fax Number : 425-990-8043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/08/2007

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Directions to “ MISS HILLARY RUSSELL LMP” Practice Location

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