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Terisa Bay Russell, LMT
Massage Therapist in Maitland, Florida
NPI 1194020065

Terisa Bay Russell is a Massage Therapist based in Orlando, FL. Terisa Bay Russell practices in Maitland, FL and has the professional credentials of LMT. The NPI Number for Terisa Bay Russell is 1194020065 and holds a License No. MA42761 (Florida).

The current practice location address for Terisa Bay Russell is 110 N Orlando Ave, Maitland, FL and can be reached out via phone at 407-324-6454.

Location: 110 N Orlando Ave, Maitland, FL, 32826-3912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194020065
Provider Name
Terisa Bay Russell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
110 N Orlando Ave, Maitland, FL, 32826-3912
Phone Number
407-324-6454
Fax Number
Provider Enumeration Date
01/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 N Orlando Ave
City
Maitland
State
Florida
Zip
32751-5574
Phone Number
407-324-6454
Fax Number
person
Provider Business Mailing Address Details
Address
110 N Orlando Ave
City
Maitland
State
Florida
Zip
32751-5574
Phone Number
407-324-6454
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA42761 (Florida)
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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