Individual provider · Type 1 NPI

Timothy Matteo Russu

Massage Therapist · Arvada, CO

NPI number 1063126902 Active

Practice location

12380 W 64th Ave
Arvada, CO 80004-4016

Mailing address

25 Dover St
Lakewood, CO 80226-1274

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019104 (CO)

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 1063126902

Timothy Matteo Russu's National Provider Identifier is 1063126902, issued on Jan 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Arvada, CO. The record was last updated on Sep 29, 2026.