Individual provider · Type 1 NPI
Erin Michelle Russo, LMT
Massage Therapist · Tonawanda, NY
NPI number
1871764829
Active
Practice location
191 Delaware St
Tonawanda, NY 14150-3519
Mailing address
69 Dolphin Dr
Grand Island, NY 14072-2937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 27 009931 (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 1871764829
Erin Michelle Russo, LMT's National Provider Identifier is 1871764829, issued on Mar 18, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tonawanda, NY. The record was last updated on Mar 18, 2008.