National Provider Identifier
Jennifer C Russell, LMT
Jennifer C Russell, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 631-1516.
Profile Overview
- NPI
- 1265671143
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- February 17, 2009
- Last Updated
- February 17, 2009
Practice Location
- 400 International Dr
- Williamsville, NY 14221-5760
Phone: (716) 631-1516
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1265671143
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Jennifer
- Middle Name
- C
- Name Prefix
- Mrs.
- Credential
- LMT
- Mailing Street Address
- 400 International Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5760
- Mailing Country
- US
- Mailing Phone
- (716) 631-1516
- Mailing Fax
- (716) 204-2998
- Practice Street Address
- 400 International Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5760
- Practice Country
- US
- Practice Phone
- (716) 631-1516
- Practice Fax
- (716) 204-2998
- Enumeration Date
- February 17, 2009
- Last Updated
- February 17, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)