MR. Kevin Wayne Rusco, LMT

NPI #1376178558 in Prescott Valley, Arizona

Provider Information

NPI Number
1376178558
Entity Type
Individual
Name
MR. Kevin Wayne Rusco, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 7, 2020
Last Updated
Mar 7, 2020

Practice Location

Address
5475 N CATTLEMEN DR
State
Arizona
ZIP Code
86314-4312
Phone
(928) 301-4309

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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