Mr. Russell W Buck, LMT
Massage Therapist in Stratford, Connecticut
1679742605- Practice location
- 85 Hartland St, Stratford, CT 06615-7617
- Phone
- 203-380-8403
- Fax
- —
- Last updated
- February 24, 2008
Russell Wallis Buck is a Massage Therapist based in Stratford, CT. Russell Wallis Buck practices in Stratford, CT and has the professional credentials of LMT. The NPI Number for Russell Wallis Buck is 1679742605 and holds a License No. 004311 (CT). The current practice location address for Russell Wallis Buck is 85 Hartland St, Stratford, CT 06615-7617 and can be reached out via phone at 203-380-8403.
Provider Profile Details
- NPI Number
- 1679742605
- Provider Name
- Russell Wallis Buck
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 85 Hartland St, Stratford, CT 06615-7617
- Phone Number
- 203-380-8403
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 24, 2008
- Last Update Date
- February 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 Hartland St
Stratford, CT 06615-7617 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-7617
- Phone Number
- 203-380-8403
Provider Business Mailing Address Details
- Address
- 85 Hartland St
Stratford, CT 06615-7617 - City
- Stratford
- State
- CT
- Zip
- 06615-7617
- Phone Number
- 203-380-8403
License Information
- License Number
- 004311
- License State
- CT
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Massage Therapists near Stratford, CT
View all Massage Therapists in Stratford →Frequently Asked Questions
What is the NPI number of Mr. Russell W Buck, LMT?
The NPI number of Mr. Russell W Buck, LMT is 1679742605. It was assigned on February 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Russell W Buck, LMT?
Mr. Russell W Buck, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in CT under license number 004311.
Where does Mr. Russell W Buck, LMT practice?
The practice location is 85 Hartland St, Stratford, CT 06615-7617. The office can be reached at 203-380-8403 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679742605 directly on the NPPES registry website.