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Mr. Michael Clarence Russ, LMT
Massage Therapist in Depew, New York
NPI 1487895116

Michael Clarence Russ is a Massage Therapist based in Lancaster, NY. Michael Clarence Russ practices in Depew, NY and has the professional credentials of LMT. The NPI Number for Michael Clarence Russ is 1487895116 and holds a License No. 022275 (New York).

The current practice location address for Michael Clarence Russ is 5102 Transit Rd, Depew, NY and can be reached out via phone at 716-341-5152.

Location: 5102 Transit Rd, Depew, NY, 14086-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487895116
Provider Name
Michael Clarence Russ
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5102 Transit Rd, Depew, NY, 14086-3334
Phone Number
716-341-5152
Fax Number
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5102 Transit Rd
City
Depew
State
New York
Zip
14043-4465
Phone Number
716-341-5152
Fax Number
person
Provider Business Mailing Address Details
Address
5102 Transit Rd
City
Depew
State
New York
Zip
14043-4465
Phone Number
716-341-5152
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
022275 (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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