Russell Pen Gaines in Destin - Massage Therapist
Russell Pen Gaines - NPI 1639371008
Russell Pen Gaines is a Massage Therapist in Destin, Florida. Russell Pen Gaines practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Russell Pen Gaines is 1639371008. The last update date is 2007-07-08.
Russell Pen Gaines's current location address is 3999 Commons Dr W, Destin, Florida. You can contact this provider via phone number 8508379552. The mailing address for Russell Pen Gaines is 3999 Commons Dr W, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Pen Gaines |
|---|---|
| Address | 3999 Commons Dr W, Destin, Florida |
| Phone Number | 8508379552 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1639371008 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3999 Commons Dr W |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 32541 |
| Phone Number | 8508379552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 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. |
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Post Comment/ Review Below
What is the Russell Pen Gaines's 1639371008?
The Russell Pen Gaines's NPI (National Provider Identifier) Number is 1639371008. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Russell Pen Gaines is geographically located?
The Russell Pen Gaines is physically situated at the following location: 3999 Commons Dr W, Destin, FL, 32541.
What is the area of specialization for Russell Pen Gaines, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Pen Gaines is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
When did the Russell Pen Gaines receive its 1639371008?
The Russell Pen Gaines was issued its 1639371008 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Russell Pen Gaines, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell Pen Gaines, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY