Megan Russell is a Massage Therapist based in Nampa, ID. Megan Russell practices in Nampa, ID. The NPI Number for Megan Russell is 1881135259 and holds a License No. MASG-230 (Idaho).
The current practice location address for Megan Russell is 430 W Iowa Ave Ste A, Nampa, ID and can be reached out via phone at 208-442-1123.
Location: 430 W Iowa Ave Ste A, Nampa, ID, 83686-2826
Provider Profile Details
NPI Number
1881135259
Provider Name
Megan Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
430 W Iowa Ave Ste A, Nampa, ID, 83686-2826
Phone Number
208-442-1123
Fax Number
Provider Enumeration Date
03/17/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MASG-230 | 01 | ID | BUREAU OF OCCUPATIONAL LICENSES |
Provider Business Practice Location Address Details
Address
430 W Iowa Ave Ste A
City
State
Zip
83686-2826
Phone Number
208-442-1123
Fax Number
Provider Business Mailing Address Details
Address
430 W Iowa Ave Ste A
City
State
Zip
83686-2826
Phone Number
208-442-1123
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MASG-230 (Idaho)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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