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Ms. Lisa Michelle Russell, LMT
Massage Therapist in Tallahassee, Florida
NPI 1760551212

Lisa Michelle Russell is a Massage Therapist based in Tallahassee, FL. Lisa Michelle Russell practices in Tallahassee, FL and has the professional credentials of LMT. The NPI Number for Lisa Michelle Russell is 1760551212 and holds a License No. MA36347 (Florida).

The current practice location address for Lisa Michelle Russell is 1803 Miccosukee Commons Dr, Tallahassee, FL and can be reached out via phone at 850-402-0200 and via fax at 850-402-0564.

Location: 1803 Miccosukee Commons Dr, Tallahassee, FL, 32308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760551212
Provider Name
Lisa Michelle Russell
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1803 Miccosukee Commons Dr, Tallahassee, FL, 32308
Phone Number
850-402-0200
Fax Number
850-402-0564
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1803 Miccosukee Commons Dr
City
Tallahassee
State
Florida
Zip
32308
Phone Number
850-402-0200
Fax Number
850-402-0564
person
Provider Business Mailing Address Details
Address
1803 Miccosukee Commons Dr
City
Tallahassee
State
Florida
Zip
32308
Phone Number
850-402-0200
Fax Number
850-402-0564
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA36347 (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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