Kurt Russell
NPI 1053158253 · Massage Therapist · Long Beach, MS
Kurt Russell is a Massage Therapist provider in Long Beach, MS (NPI 1053158253).
Provider details
- NPI number
- 1053158253
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 3806 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4400 Leisure Time DrDiamondhead, MS 39525-3237Phone: (228) 363-0695
Registry dates
- Enumerated
- 2024-07-15
- Last updated
- 2024-07-15
- Certified
- 2024-07-14
Frequently asked questions
- What is Kurt Russell's NPI number?
- Kurt Russell's National Provider Identifier (NPI) is 1053158253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kurt Russell's specialty?
- Kurt Russell is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kurt Russell located?
- Kurt Russell's practice location on file with NPPES is 98 Jeff Davis Ave Ste B, Long Beach, MS 39560-6172.
- What is Kurt Russell's phone number?
- The practice phone number listed in the NPPES registry for Kurt Russell is (228) 313-9208.
- Is Kurt Russell's NPI active?
- Yes — Kurt Russell's NPI (1053158253) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.