Russell Pen Gaines LMT

  • NPI 1639371008
According to our database, the NPI number for Russell Pen Gaines LMT is 1639371008 and activated since 16 years ago. Russell Pen Gaines LMT is an individual provider who specializes in Massage Therapist, and the primary practice location is 3999 Commons Dr W, Destin, FL 32541. You can also contact Russell Pen Gaines LMT via telephone number is (850) 837-9552. Provider NPI information was last updated on 07/08/2007.

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Overview of Russell Pen Gaines LMT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/05/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA18637
  • License State: FL

Provider Mailing Address

  • Address: 17 Doral Dr
    Shalimar, FL 32579
  • Phone: 850-651-1732
  • Fax: 850-651-1732

Provider Practice Location

  • Address: 3999 Commons Dr W
    Ste C
    Destin, FL 32541
  • Phone: 850-837-9552
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA18637
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Russell Pen Gaines LMT?
  • A: The npi number for Russell Pen Gaines LMT is 1639371008.
  • Q: What are Russell Pen Gaines LMT's specialties?
  • A: Russell Pen Gaines LMT's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for Russell Pen Gaines LMT?
  • A: The medical license number for Russell Pen Gaines LMT is MA18637 and issued in FL in USA.
  • Q: Where is Russell Pen Gaines LMT practice location?
  • A: Russell Pen Gaines LMT is practicing at 3999 Commons Dr W, Destin, FL 32541.
  • Q: How to contact Russell Pen Gaines LMT?
  • A: You can contact Russell Pen Gaines LMT via 850-837-9552.