Lisa Michelle Russell in Tallahassee - Massage Therapist
Lisa Michelle Russell - NPI 1760551212
Lisa Michelle Russell is a Massage Therapist in Tallahassee, Florida. Lisa Michelle Russell practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Lisa Michelle Russell is 1760551212. The last update date is 2007-07-08.
Lisa Michelle Russell's current location address is 1803 Miccosukee Commons Dr, Tallahassee, Florida. You can contact this provider via phone number 8504020200 and fax number 8504020564. The mailing address for Lisa Michelle Russell is 1803 Miccosukee Commons Dr, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Michelle Russell |
|---|---|
| Address | 1803 Miccosukee Commons Dr, Tallahassee, Florida |
| Phone Number | 8504020200 |
| Fax Number | 8504020564 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1760551212 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1803 Miccosukee Commons Dr |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 32308 |
| Phone Number | 8504020200 |
| Fax Number | 8504020564 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA36347 |
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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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What is the unique 10-digit identification code issued to Lisa Michelle Russell by the Centers for Medicare & Medicaid Services?
The Lisa Michelle Russell has been assigned the NPI (National Provider Identifier) 1760551212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Lisa Michelle Russell is located?
The Lisa Michelle Russell is situated at the following address: 1803 Miccosukee Commons Dr, Tallahassee, FL, 32308.
What is the Lisa Michelle Russell's area of specialization and corresponding taxonomy classification?
The Lisa Michelle Russell's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1760551212 to Lisa Michelle Russell?
The Lisa Michelle Russell received its 1760551212 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the Lisa Michelle Russell's information last updated?
The Lisa Michelle Russell's information was last updated on 2007-07-08.
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