Individual provider · Type 1 NPI

Russell Donovan Lord, L.M.T.

Massage Therapist · Panama City, FL

NPI number 1861615650 Active

Practice location

449 W 23rd St
Panama City, FL 32405-4507

Call (850) 814-7980 Map

Mailing address

PO Box 823
Lynn Haven, FL 32444-0823

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA-11342 (FL)

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 1861615650

Russell Donovan Lord, L.M.T.'s National Provider Identifier is 1861615650, issued on Apr 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Panama City, FL. The record was last updated on Jul 8, 2007.