TRENTON RUSSELL - NPI 1073393864 - Massage Therapist in Longview, TX

Q: What is Trenton Russell's NPI number?

The NPI number for Trenton Russell is 1073393864. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Q: What is Trenton Russell's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Trenton Russell was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Trenton Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRENTON RUSSELL (NPI 1073393864) is an individual massage therapist in Longview, Texas, licensed in Texas (MT137200) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1073393864

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameTRENTON RUSSELL

Location Address116 E SOUTH STLongview, TX 75601-7437

Mailing Address116 E South StLongview, TX 75601-7437 · (903) 261-6298

Phone(903) 230-1911

Sole ProprietorYes

Enumeration DateSeptember 29, 2023

NPPES CertifiedSeptember 29, 2023

✔ NPI 1073393864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in TX · MT137200

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.

116 E SOUTH ST, Longview, TX 75601

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIK MOBERG

Massage Therapist