Lisa Michelle Russell LMT

NPI 1760551212 - Massage Therapist - 225700000X

NPI Details
NPI 1760551212
Gender Female
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1803 MICCOSUKEE COMMONS DR
STE 202
TALLAHASSEE FL, 32308, US
Phone (850) 402-0200
Fax (850) 402-0564
Business Location
1950 N POINT BLVD
#1012
TALLAHASSEE FL, 32308, US
Phone (850) 321-4482
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA36347
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According to our database, Ms. Lisa Michelle Russell LMT NPI is 1760551212, taxonomy code is 225700000X and license number is MA36347, license state is located at Florida. Lisa Michelle Russell LMT physically located at 1803 Miccosukee Commons Dr, Tallahassee FL, 32308. NPI Number Lisa Michelle Russell LMT has the Individual type.

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1760551212 NPI number is provided on an as is basis without warranty of any kind. 1760551212 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Michelle Russell LMT are for informational purposes only.