Russell, Julia Marie

Russell, Julia Marie is an sole proprietor health care provider with primary practice located at 239 S Union St , Burlington VT 05401-4886. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Russell, Julia Marie can be contacted via phone (802) 343-7574.

Contact Information

Primary practice address
239 S Union St Burlington VT 05401-4886
Phone: (802) 343-7574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 164.0000286 Vermont

Profile Details

NPI number 1467038521
LBN Legal business name Russell, Julia Marie
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2021
Last updated Mar 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467038521 NPPES
Vermont Other 164.0000286 MASSAGE THERAPIST, BODYWORKER, OR TOUCH PROFESSIONAL LICENSE

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