RUSSELL KENJI TAMASHIRO NPI 1558002816

NPI Information

  • NPI: 1558002816
  • Provider Name: RUSSELL KENJI TAMASHIRO
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3861 MONTGOMERY DR
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 666-5863

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NPI Details

Russell Kenji Tamashiro is a massage therapist in Santa Rosa, CA. 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 Kenji Tamashiro NPI is 1558002816. 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:

3861 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-244
Phone: (707) 666-5863

The enumeration date for this NPI number is 4/2/2022 and was last updated on 8/31/2022.

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 Therapist83366CALIFORNIAYes

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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