National Provider Identifier

Tami Lynn Russo, L.M.T

Tami Lynn Russo, L.M.T is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 873-6999.

NPI 1558548453Tonawanda, NYSpecialist

Profile Overview

NPI
1558548453
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 23, 2008
Last Updated
January 23, 2008

Practice Location

  • 221 Highland Pkwy
  • Tonawanda, NY 14223-1407

Phone: (716) 873-6999

Mailing Address

  • 31 Malvern Curv
  • Tonawanda, NY 14150-8738

Specialties

  • Specialist (174400000X)
Full Record
NPI
1558548453
Entity Type
Individual
Last Name
Russo
First Name
Tami
Middle Name
Lynn
Name Prefix
Mrs.
Credential
L.M.T
Mailing Street Address
31 Malvern Curv
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8738
Mailing Country
US
Mailing Phone
(716) 807-9738
Practice Street Address
221 Highland Pkwy
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14223-1407
Practice Country
US
Practice Phone
(716) 873-6999
Enumeration Date
January 23, 2008
Last Updated
January 23, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
008343 (NY, L.M.T.)