IndividualActive
Michelle Russo, LCMT
NPI 1467614487 · Mechanotherapist · Cranston, RI
Provider details
- NPI number
- 1467614487
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LCMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT00862 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
1145 Reservoir Ave Ste 210
Cranston, RI 02920-6000
Phone: (401) 749-0662
Approximate (ZIP-level) locationGet directions
Mailing address
1145 Reservoir Ave Ste 210
Cranston, RI 02920-6000
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.