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Russell Donovan Lord, LMT
Massage Therapist in Panama City, Florida
NPI 1861615650

Russell Donovan Lord is a Massage Therapist based in Lynn Haven, FL. Russell Donovan Lord practices in Panama City, FL and has the professional credentials of LMT. The NPI Number for Russell Donovan Lord is 1861615650 and holds a License No. MA-11342 (Florida).

The current practice location address for Russell Donovan Lord is 449 W 23Rd St, Panama City, FL and can be reached out via phone at 850-814-7980.

Location: 449 W 23Rd St, Panama City, FL, 32444-0823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861615650
Provider Name
Russell Donovan Lord
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
449 W 23Rd St, Panama City, FL, 32444-0823
Phone Number
850-814-7980
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
449 W 23Rd St
City
Panama City
State
Florida
Zip
32405-4507
Phone Number
850-814-7980
Fax Number
person
Provider Business Mailing Address Details
Address
449 W 23Rd St
City
Panama City
State
Florida
Zip
32405-4507
Phone Number
850-814-7980
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA-11342 (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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