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Charlene Russell

Massage Therapist

12603 Highway 57
Vancleave , Mississippi 39565-7420

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Charlene Russell

Massage Therapist

12603 Highway 57
Vancleave , Mississippi 39565-7420

(228) 283-5083

Write a Review Save Call

Charlene Russell

Massage Therapist

12603 Highway 57
Vancleave , Mississippi 39565-7420

(228) 283-5083 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Massage Therapist

Languages spoken

  • English

Location

12603 Highway 57 Vancleave , Mississippi 39565-7420

First Address

  • Charlene Russell
  • Po Box 5667
  • Vancleave, MS
  • Zip : 39565-5667
  • Phone : (228) 283-5083

Second Address

  • Charlene Russell
  • 12603 Highway 57
  • Vancleave, MS
  • Zip : 39565-7420
  • Phone : (228) 283-5083

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FAQs


Where did Charlene Russell attend graduate school?

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Where did Charlene Russell do her residency?

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Where did Charlene Russell do her fellowship?

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Is Charlene Russell board certified?

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In what state does Charlene Russell practice in?

Mississippi

Where is Charlene Russell ’s practice located?

12603 Highway 57 , Vancleave, Mississippi, 39565-7420

What is Charlene Russell ’s gender?

Female

Is Charlene Russell a sole practitioner?

No

Is Charlene Russell accepting new patients?

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What languages does Charlene Russell speak?

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Does Charlene Russell accept insurance?

Yes, Charlene Russell accepts insurance

Does Charlene Russell offers telemedicine?

Charlene Russell has not indicated if she offers telemedicine

What is Charlene Russell ’s professional license number?

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What is Charlene Russell ’s NPI number?

1013303296

Does Charlene Russell have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 225700000X Massage Therapist 35 MS

National Provider Identifier

NPI 1013303296
Provider Name Charlene Russell
First Address Vancleave, MS 39565-5667
Second Address Vancleave, MS 39565-7420
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/04/2015
Last Update Date 14/04/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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