National Provider Identifier Database

RUSSELL KOUTROUBY, LAC – NPI #1487872479
Mechanotherapist

A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.


Contact Information

RUSSELL KOUTROUBY, LAC
220 FORT SALONGA ROAD
NORTHPORT, NY11768
Phone: 631-757-2688
Fax:
Website:
Specialty Taxonomy Code
* Mechanotherapist 172M00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for RUSSELL KOUTROUBY

NPI Number 1487872479
Credentials LAC
Entity Individual
Enumeration date 04/23/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 2125
  • NY License #: 8054
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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