Individual
RUSSEL JOHN MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1356 LONSDALE AVE, LINCOLN, RI 02865-1821
(401) 465-7770
Mailing address
1356 LONSDALE AVE, LINCOLN, RI 02865-1821
(401) 465-7770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01737
RI
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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