Individual provider · Type 1 NPI

Nicole Russo

Massage Therapist · Stoneham, MA

NPI number 1356572747 Active

Practice location

38 Montvale Ave Ste 330
Stoneham, MA 02180-2450

Call (978) 886-5441 Map

Mailing address

163 West St Apt 3
Malden, MA 02148-6532

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2452 (MA)

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 1356572747

Nicole Russo's National Provider Identifier is 1356572747, issued on Aug 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stoneham, MA. The record was last updated on Aug 3, 2009.