Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Jake Russell, LMP

Individual provider Specialist · NPI 1003092594

Justin Jake Russell, LMP is a Specialist in Leavenworth, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

22470 Humphrey Dr
Leavenworth, WA 98826-9240
Phone: (253) 389-7510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00024875 (WA)

Record details

NPI number1003092594
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESAugust 14, 2008

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