RUSSELL DONOVAN LORD L.M.T.
NPI 1861615650
Massage Therapist in Panama City, FL
- Individual
- Male
- Massage Therapist
About RUSSELL LORD
This page provides the complete NPI Profile along with additional information for Russell Lord, a provider established in Panama City, Florida with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1861615650 assigned on April 2007. The practitioner's primary taxonomy code is 225700000X with license number MA-11342 (FL). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1861615650 Verify this NPI
- Provider Name
- RUSSELL DONOVAN LORD L.M.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 449 W 23RD ST PANAMA CITY, FL 32405
- Location Phone
- (850) 814-7980
- Mailing Address
- PO BOX 823 LYNN HAVEN, FL 32444
- Mailing Phone
- (850) 814-7980
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA-11342
- License State
- FL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PANAMA CITY, FL 32405
PANAMA CITY, FL 32405
PANAMA CITY, FL 32405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861615650, enumerated as an "individual" on April 10, 2007.
The provider is located at 449 W 23RD ST PANAMA CITY, FL 32405 and the phone number is (850) 814-7980.
Massage Therapist with taxonomy code 225700000X.
