Individual provider · Type 1 NPI

Lakisha Russell, LMT

Massage Therapist · Jacksonville, FL

NPI number 1932819216 Active

Practice location

10273 Jolynn Rd
Jacksonville, FL 32225-6649

Call (904) 586-6940 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA100675 (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 1932819216

Lakisha Russell, LMT's National Provider Identifier is 1932819216, issued on Nov 28, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 28, 2022.