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KURT MICHAEL RUSSELL
NPI 1053158253
Massage Therapist in Long Beach, MS

Active since July 15, 2024
98 JEFF DAVIS AVE STE B, LONG BEACH, MS 39560(228) 313-9208 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kurt Michael Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURT MICHAEL RUSSELL (NPI 1053158253) is an individual massage therapist in Long Beach, Mississippi, licensed in Mississippi (3806) and active in the NPI registry since July 2024. He maintains a secondary practice location in Diamondhead.

NPPES Registry Identity

NPI1053158253
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKURT MICHAEL RUSSELL
Location Address98 JEFF DAVIS AVE STE BLong Beach, MS 39560-6172
Mailing Address22 Ryan CirLong Beach, MS 39560-2313 · (601) 549-4098
Phone(228) 313-9208
Sole ProprietorNo
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 14, 2024
✔ NPI 1053158253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MS · 3806
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
98 JEFF DAVIS AVE STE B, Long Beach, MS 39560
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Secondary Practice Location 1

Location 14400 Leisure Time DrDiamondhead, MS 39525-3237 · Phone (228) 363-0695

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA BEE WILLIAMS LMT #810
Massage Therapist
98 JEFF DAVIS AVE STE B
LONG BEACH, MS 39560
Harrison County (228) 326-9328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Russell's NPI number?

The NPI number for Kurt Russell is 1053158253. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Kurt Russell located?

Kurt Russell practices at 98 Jeff Davis Ave Ste B, Long Beach, MS 39560. The listed phone number is (228) 313-9208.

What is Kurt Russell's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kurt Russell was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.