Individual provider · Type 1 NPI

Russell James Basiliere, LMT

Massage Therapist · Syracuse, NY

NPI number 1427778380 Active

Practice location

109 S Warren St Ste 301
Syracuse, NY 13202-1798

Call (315) 937-5953 Map

Mailing address

7543 Elmcrest Rd
Liverpool, NY 13090-2846

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030876-01 (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.

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About NPI 1427778380

Russell James Basiliere, LMT's National Provider Identifier is 1427778380, issued on Aug 31, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Syracuse, NY. The record was last updated on Aug 31, 2022.