Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kevin Wayne Rusco, LMT

Individual provider Massage Therapist · NPI 1376178558

Mr. Kevin Wayne Rusco, LMT is a Massage Therapist in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5475 N Cattlemen Dr
Prescott Valley, AZ 86314-4312
Phone: (928) 301-4309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT22788 (AZ)

Record details

NPI number1376178558
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 7, 2020
Last updated in NPPESMarch 7, 2020
Certification dateMarch 7, 2020
Mailing address5475 N Cattlemen Dr, Prescott Valley, AZ 86314-4312

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