Individual provider · Type 1 NPI

Kim Russo, LMT

Massage Therapist · North Bellmore, NY

NPI number 1487268306 Active

Practice location

2505 Washington Blvd
North Bellmore, NY 11710-2642

Call (516) 661-9877 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X015996 (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 1487268306

Kim Russo, LMT's National Provider Identifier is 1487268306, issued on Sep 8, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Bellmore, NY. The record was last updated on Sep 8, 2020.