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

Q: 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. The provider is also known as Russ Gaines Massage Therapy.

Q: What is Russell Gaines's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Russell Gaines was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

On this page

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

Open in Google Maps ↗

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. The provider is also known as Russ Gaines Massage Therapy.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.