Elaine Marie Russell, LMP, MM, CBTP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60251984 Issued in WA

Practice address

5801 Phinney Avenue N,
Suite 100 Phinney Massage and Allied Healing Arts
Seattle, WA 98103

Phone

(206) 963-3117

Fax

(206) 432-9540

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1104903947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PHINNEY AVE N",
            "address_2": "APT. 304",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036383",
            "telephone_number": "206-963-3117",
            "fax_number": "206-432-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 PHINNEY AVENUE N,",
            "address_2": "SUITE 100 PHINNEY MASSAGE AND ALLIED HEALING ARTS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-963-3117",
            "fax_number": "206-432-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMP, MM, CBTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60251984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Susan Russell, LAC, MACOM
• Aspen Summit Russell
• David Scott Russell, D.D.S.
• David W Russell
• Douglas Andrew Russell, M.D.
• Elise Russell
• Gabriella Russell
• Garrett Russell, M.D.
• Jeremy Joseph Russell
• Karen Elizabeth Russell, LICSW

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.