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Evelyn Russo, LMT
Massage Therapist in Miami, Florida
NPI 1114099108

Evelyn Russo is a Massage Therapist based in Miami, FL. Evelyn Russo practices in Miami, FL and has the professional credentials of LMT. The NPI Number for Evelyn Russo is 1114099108 and holds a License No. MA40587 (Florida).

The current practice location address for Evelyn Russo is 5750 Sw 42Nd St, Miami, FL and can be reached out via phone at 305-790-2300. You can also correspond with Evelyn Russo through the mailing address at PO BOX 558075, MIAMI, FL - 33255-8075 (mailing address contact number: 305-790-2300).

Location: 5750 Sw 42Nd St, Miami, FL, 33255-8075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114099108
Provider Name
Evelyn Russo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
5750 Sw 42Nd St, Miami, FL, 33255-8075
Phone Number
305-790-2300
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5750 Sw 42Nd St
City
Miami
State
Florida
Zip
33155-5310
Phone Number
305-790-2300
Fax Number
person
Provider Business Mailing Address Details
Address
5750 Sw 42Nd St
City
Miami
State
Florida
Zip
33155-5310
Phone Number
305-790-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA40587 (Florida)
Definition
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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