OrganizationActive
Sean Russell, O.m.d., PLLC
NPI 1164868006 · Acupuncturist · Henderson, NV
Provider details
- NPI number
- 1164868006
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sean Russell, Owner(702) 596-9595
- License
- 1042 (NV)
Specialties & taxonomies
Other Service Providers
Practice location
129 W Lake Mead Pkwy Ste 2
Henderson, NV 89015-7055
Phone: (702) 564-6712
Approximate (ZIP-level) locationGet directions
Mailing address
5621 Raven Horse Dr
Las Vegas, NV 89131-2070
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2013-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.