Individual provider · Type 1 NPI

Timothy Lynn Russell, LMT

Massage Therapist · Chattanooga, TN

NPI number 1487863403 Active

Practice location

1100 E 3rd St, Suite G-100
Chattanooga, TN 37403-2201

Call (423) 643-1965 Map

Fax (423) 643-2030

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT173 (TN)

Massage Therapist: 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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About NPI 1487863403

Timothy Lynn Russell, LMT's National Provider Identifier is 1487863403, issued on May 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 8, 2007.