Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL PEN GAINES, LMT
ActiveRUSSELL PEN GAINES, LMT is a Massage Therapist healthcare provider located in DESTIN, Florida. NPI 1639371008 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DESTIN, FL
Registration Details
- NPI Number
- 1639371008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2007 (19.16340330394 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA18637 (FL)
Practice Information
- Address
-
3999 COMMONS DR WSTE CDESTIN, FL, 32541Browse FL providers · Browse ZIP 32541
- Phone
- 8508379552
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in DESTIN, FL
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY STEPHEN SEMERAD | B.A., L.M.T. | 1770655672 |
| MRS. JAMEY MORGAN STARLING | L.M.T. | 1982815619 |
| JAMES A VONDERHEIDE | LMT MA49956 | 1184803165 |
| MRS. ANN M RECTOR | LMT | 1588828198 |
| SHAYANN CRABTREE | — | 1417281668 |
| KLEIDY L BOTICH | MASSAGE THERAPIST | 1750061115 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.