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Kim Russo, LMT
Massage Therapist in North Bellmore, New York
NPI 1487268306

Kim Russo is a Massage Therapist based in North Bellmore, NY. Kim Russo practices in North Bellmore, NY and has the professional credentials of LMT. The NPI Number for Kim Russo is 1487268306 and holds a License No. 015996 (New York).

The current practice location address for Kim Russo is 2505 Washington Blvd, North Bellmore, NY and can be reached out via phone at 516-661-9877.

Location: 2505 Washington Blvd, North Bellmore, NY, 11710-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487268306
Provider Name
Kim Russo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2505 Washington Blvd, North Bellmore, NY, 11710-2642
Phone Number
516-661-9877
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2505 Washington Blvd
City
North Bellmore
State
New York
Zip
11710-2642
Phone Number
516-661-9877
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Washington Blvd
City
North Bellmore
State
New York
Zip
11710-2642
Phone Number
516-661-9877
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
015996 (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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