Individual provider · Type 1 NPI
Cathleen P. Russo, LMT
Massage Therapist · Williston Park, NY
NPI number
1154099042
Active
Practice location
64 Capitol Ave
Williston Park, NY 11596-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031790-01 (NY) |
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.
Another provider at this address
Other massage therapist providers in Williston Park
About NPI 1154099042
Cathleen P. Russo, LMT's National Provider Identifier is 1154099042, issued on Sep 3, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williston Park, NY. The record was last updated on Sep 3, 2021.