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Michele Russell
NPI 1346056918 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7655 Tunnel Hill Rd
Goreville, IL 62939 - Phone
- (618) 926-2456
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois