Individual provider · Type 1 NPI

Kevin Wayne Rusco, LMT

Massage Therapist · Prescott Valley, AZ

NPI number 1376178558 Active

About NPI 1376178558

Kevin Wayne Rusco, LMT's National Provider Identifier is 1376178558, issued on Mar 7, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Mar 7, 2020.