Search › Arizona › 172M00000X

Roberta Russell, LMT

NPI 1962782979 · on the registry since 2011 · sole proprietor

Practice

Address
3964 W Shea Ln
Camp Verde, AZ 86322
Phone
(928) 451-2588

Registry record

Primary taxonomy
172M00000X
172M00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-22

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 Arizona