RUSSELL CAROLLO LMT NPI 1013814979

NPI Information

  • NPI: 1013814979
  • Provider Name: RUSSELL CAROLLO, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10630 LITTLE PATUXENT PKWY
    STE 128
    COLUMBIA, MD
    ZIP 21044
  • Phone: (443) 718-0611

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NPI Details

Russell Carollo, LMT is a massage therapist in Columbia, MD. The provider is 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. Russell Carollo, LMT NPI is 1013814979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10630 LITTLE PATUXENT PKWY
STE 128
COLUMBIA, MD
ZIP 21044-233
Phone: (443) 718-0611

The enumeration date for this NPI number is 10/23/2026 and was last updated on 10/23/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistM07209MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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