Individual provider · Type 1 NPI

Russell Koutrouby, LAC

Mechanotherapist · Northport, NY

NPI number 1487872479 Active

Practice location

220 Fort Salonga Road
Northport, NY 11768

Mailing address

22 Nevinwood Place
Huntington Station, NY 11746

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X2125 (NY)
Mechanotherapist Primary 172M00000X8054 (NY)

Mechanotherapist: A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

About NPI 1487872479

Russell Koutrouby, LAC's National Provider Identifier is 1487872479, issued on Apr 23, 2007. The primary taxonomy on file is Mechanotherapist (172M00000X), and the practice location is in Northport, NY. The record was last updated on Sep 11, 2025.