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Roberta Russell, LMT — NPI 1962782979, Camp Verde, AZ | NPI Central

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NPI 1962782979

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Roberta Russell, LMT

NPI 1962782979 · Mechanotherapist · Camp Verde, AZ

Provider details

NPI number: 1962782979
Entity type: Individual
Primary specialty: MechanotherapistOther Service Providers
Credential: LMT
Sex: Female
Sole proprietor: Yes
License: MT-04916 (AZ)

Specialties & taxonomies

MechanotherapistPrimary172M00000XLicense MT-04916 (AZ)
Other Service Providers

Practice location

3964 W Shea Ln

Camp Verde, AZ 86322-8530

Phone: (928) 451-2588

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

3964 W Shea Ln

Camp Verde, AZ 86322-8530

Registry dates

Enumerated: 2011-08-22
Last updated: 2011-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.