Individual provider · Type 1 NPI
Richard Dean Russ, LMT
Massage Therapist · Beaver, PA
NPI number
1104040484
Active
Practice location
971 3rd St
Beaver, PA 15009-2046
Fax (724) 774-8471
Mailing address
150 Mortimer Ln
Aliquippa, PA 15001-9497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33007373 (OH) |
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.
Other massage therapist providers in Beaver
About NPI 1104040484
Richard Dean Russ, LMT's National Provider Identifier is 1104040484, issued on Apr 11, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaver, PA. The record was last updated on Aug 27, 2007.