National Provider Identifier
Erin Michelle Russo, LMT
Erin Michelle Russo, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Tonawanda, NY and a listed phone number of (716) 692-1711.
Profile Overview
- NPI
- 1871764829
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 18, 2008
- Last Updated
- March 18, 2008
Practice Location
- 191 Delaware St
- Tonawanda, NY 14150-3519
Phone: (716) 692-1711
Mailing Address
- 69 Dolphin Dr
- Grand Island, NY 14072-2937
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1871764829
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Erin
- Middle Name
- Michelle
- Credential
- LMT
- Mailing Street Address
- 69 Dolphin Dr
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2937
- Mailing Country
- US
- Mailing Phone
- (716) 774-8745
- Practice Street Address
- 191 Delaware St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-3519
- Practice Country
- US
- Practice Phone
- (716) 692-1711
- Enumeration Date
- March 18, 2008
- Last Updated
- March 18, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)