Individual
MICHAELA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6872 WADSWORTH BLVD UNIT B, ARVADA, CO 80003-3406
(303) 999-1920
Mailing address
5757 LAMAR ST, ARVADA, CO 80002-2625
(802) 689-9245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0025770
CO
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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