Individual provider · Type 1 NPI

Evelyn Russo, L.M.T.

Massage Therapist · Miami, FL

NPI number 1114099108 Active

Practice location

5750 SW 42nd St
Miami, FL 33155-5310

Call (305) 790-2300 Map

Mailing address

PO Box 558075
Miami, FL 33255-8075

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA40587 (FL)

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 1114099108

Evelyn Russo, L.M.T.'s National Provider Identifier is 1114099108, issued on Nov 14, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miami, FL. The record was last updated on Sep 9, 2016.