Kurt Michael Russell

NPI #1053158253 in Long Beach, Mississippi

Provider Information

NPI Number: 1053158253
Entity Type: Individual
Name: Kurt Michael Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jul 15, 2024
Last Updated: Jul 15, 2024

Practice Location

Address: 98 JEFF DAVIS AVE STE B
City: Long Beach
State: Mississippi
ZIP Code: 39560-6172
Phone: (228) 313-9208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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