Russell Leif Stohl
Russell Leif Stohl is a Massage Therapist in Bothell, Washington. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
19717 112th Ave NE Apt B102Bothell, WA 98011-1775
Phone: (360) 631-6815
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1861066540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | April 28, 2021 |
| Mailing address | 19717 112th Ave Ne Apt B102, Bothell, WA 98011-1775 |
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