RUSSELL LORD, L.M.T.

Massage Therapist

Active Individual
NPI: 1861615650

Practice Address

449 W 23RD ST
Panama City, FL 32405

Phone: (850) 814-7980

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes MA-11342 (FL)

Frequently Asked Questions

NPI 1861615650 is the National Provider Identifier for RUSSELL LORD, L.M.T., a Massage Therapist provider located in Panama City, FL. This NPI was enumerated on April 10, 2007.
RUSSELL LORD, L.M.T. practices at 449 W 23RD ST, Panama City, FL 32405.

Quick Facts

NPI
1861615650
Type
Individual
Enumerated
Apr 10, 2007
Last Updated
Jul 8, 2007

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