Individual provider · Type 1 NPI

Michael Clarence Russ, LMT

Massage Therapist · Long Beach, CA

NPI number 1487895116 Active

Practice location

6621 CA-1, Suite 120
Long Beach, CA 90803

Call (716) 341-5152 Map

Mailing address

18672 Applewood Cir # 75
Huntington Beach, CA 92646-1861

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X022275 (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 1487895116

Michael Clarence Russ, LMT's National Provider Identifier is 1487895116, issued on Mar 9, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 13, 2026.