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Russell James Basiliere, LMT
Massage Therapist in Syracuse, New York
NPI 1427778380

Russell James Basiliere is a Massage Therapist based in Liverpool, NY. Russell James Basiliere practices in Syracuse, NY and has the professional credentials of LMT. The NPI Number for Russell James Basiliere is 1427778380 and holds a License No. 030876-01 (New York).

The current practice location address for Russell James Basiliere is 109 S Warren St Ste 301, Syracuse, NY and can be reached out via phone at 315-937-5953.

Location: 109 S Warren St Ste 301, Syracuse, NY, 13090-2846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427778380
Provider Name
Russell James Basiliere
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
109 S Warren St Ste 301, Syracuse, NY, 13090-2846
Phone Number
315-937-5953
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030876-01 01 NY MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
109 S Warren St Ste 301
City
Syracuse
State
New York
Zip
13202-1798
Phone Number
315-937-5953
Fax Number
person
Provider Business Mailing Address Details
Address
109 S Warren St Ste 301
City
Syracuse
State
New York
Zip
13202-1798
Phone Number
315-937-5953
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030876-01 (New York)
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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