Individual provider · Type 1 NPI

Kurt Michael Russell

Massage Therapist · Long Beach, MS

NPI number 1053158253 Active

Practice location

98 Jeff Davis Ave Ste B
Long Beach, MS 39560-6172

Call (228) 313-9208 Map

Mailing address

22 Ryan Cir
Long Beach, MS 39560-2313

Other practice locations

  • 4400 Leisure Time Dr, Diamondhead, MS 39525-3237 · (228) 363-0695

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3806 (MS)

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 1053158253

Kurt Michael Russell's National Provider Identifier is 1053158253, issued on Jul 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, MS. The record was last updated on Jul 15, 2024.