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Mr. Russell Wallis Buck, LMT
Massage Therapist in Stratford, Connecticut
NPI 1679742605

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 (Connecticut).

The current practice location address for Russell Wallis Buck is 85 Hartland St, Stratford, CT and can be reached out via phone at 203-380-8403.

Location: 85 Hartland St, Stratford, CT, 06615-7617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
02/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
85 Hartland St
City
Stratford
State
Connecticut
Zip
06615-7617
Phone Number
203-380-8403
Fax Number
person
Provider Business Mailing Address Details
Address
85 Hartland St
City
Stratford
State
Connecticut
Zip
06615-7617
Phone Number
203-380-8403
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
004311 (Connecticut)
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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