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RUSSELL PEN GAINES LMT
NPI 1639371008
Massage Therapist in Destin, FL

Active since June 05, 2007
3999 COMMONS DR W, STE C, DESTIN, FL 32541(850) 837-9552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Russell Pen Gaines Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL PEN GAINES LMT (NPI 1639371008) is an individual massage therapist in Destin, Florida, licensed in Florida (MA18637) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1639371008
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameRUSSELL PEN GAINESCredential: LMT
Location Address3999 COMMONS DR W, STE CDestin, FL 32541
Mailing Address17 Doral DrShalimar, FL 32579 · (850) 651-1732 · Fax (850) 651-1732
Phone(850) 837-9552
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639371008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA18637
Definition

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.

3999 COMMONS DR W, Destin, FL 32541
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Other Names 1

Professional Name (2)Russ Gaines Massage Therapy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Gaines's NPI number?

The NPI number for Russell Gaines is 1639371008. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Russell Gaines located?

Russell Gaines practices at 3999 Commons Dr W Ste C, Destin, FL 32541. The listed phone number is (850) 837-9552.

What is Russell Gaines's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Russell Gaines was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.