person
Connie Jo Russo, LMT
Massage Therapist in Tarpon Springs, Florida
NPI 1700541711

Connie Jo Russo is a Massage Therapist based in Tarpon Springs, FL. Connie Jo Russo practices in Tarpon Springs, FL and has the professional credentials of LMT. The NPI Number for Connie Jo Russo is 1700541711 and holds a License No. 25841 (Florida).

The current practice location address for Connie Jo Russo is 1885 S Pinellas Ave, Tarpon Springs, FL and can be reached out via phone at 727-992-1696.

Location: 1885 S Pinellas Ave, Tarpon Springs, FL, 34688-1252
person
Provider Profile Details
NPI Number
1700541711
Provider Name
Connie Jo Russo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1885 S Pinellas Ave, Tarpon Springs, FL, 34688-1252
Phone Number
727-992-1696
Fax Number
Provider Enumeration Date
11/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-1876171 01 FL MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
1885 S Pinellas Ave
City
State
Zip
34689-1938
Phone Number
727-992-1696
Fax Number
person
Provider Business Mailing Address Details
Address
1885 S Pinellas Ave
City
State
Zip
34689-1938
Phone Number
727-992-1696
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
25841 (Florida)
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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