Individual provider · Type 1 NPI

Russell Carollo, LMT

Massage Therapist · Columbia, MD

NPI number 1013814979 Active

Practice location

10630 Little Patuxent Pkwy, Ste 128
Columbia, MD 21044-6233

Call (443) 718-0611 Map

Mailing address

1806 Mayfield Ave
Halethorpe, MD 21227-4415

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM07209 (MD)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1013814979

Russell Carollo, LMT's National Provider Identifier is 1013814979, issued on Oct 23, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MD. The record was last updated on Oct 23, 2026.