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Mr. Lester Leon Russell
Massage Therapist in Cordova, Tennessee
NPI 1598176745

Lester Leon Russell is a Massage Therapist based in Memphis, TN. Lester Leon Russell practices in Cordova, TN. The NPI Number for Lester Leon Russell is 1598176745 and holds a License No. 34105 (Tennessee).

The current practice location address for Lester Leon Russell is 10111 Cameron Ridge Trl, Cordova, TN and can be reached out via phone at 901-679-5366.

Location: 10111 Cameron Ridge Trl, Cordova, TN, 38105-4559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598176745
Provider Name
Lester Leon Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
10111 Cameron Ridge Trl, Cordova, TN, 38105-4559
Phone Number
901-679-5366
Fax Number
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10111 Cameron Ridge Trl
City
Cordova
State
Tennessee
Zip
38016-7184
Phone Number
901-679-5366
Fax Number
person
Provider Business Mailing Address Details
Address
10111 Cameron Ridge Trl
City
Cordova
State
Tennessee
Zip
38016-7184
Phone Number
901-679-5366
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
146L00000X
License No.
13023 (Tennessee)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
34105 (Tennessee)
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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