Individual provider · Type 1 NPI
Kevin Wayne Rusco, LMT
Massage Therapist · Prescott Valley, AZ
NPI number
1376178558
Active
Practice location
5475 N Cattlemen Dr
Prescott Valley, AZ 86314-4312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT22788 (AZ) |
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 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.