Cathleen P Russo, LMT

NPI #1154099042 in Williston Park, New York

Provider Information

NPI Number: 1154099042
Entity Type: Individual
Name: Cathleen P Russo, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 3, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 64 CAPITOL AVE
City: Williston Park
State: New York
ZIP Code: 11596-1621
Phone: (516) 302-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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