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Kurt Russell
NPI 1053158253 · on the registry since 2024
Practice
- Address
- 98 Jeff Davis Ave Ste B
Long Beach, MS 39560 - Phone
- (228) 313-9208
- Clinicians at this address
- 3
Additional practice sites
- 4400 Leisure Time Dr, Diamondhead, MS
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi