Terisa Bay Russell, LMT

NPI #1194020065 in Maitland, Florida

Provider Information

NPI Number
1194020065
Entity Type
Individual
Name
Terisa Bay Russell, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 24, 2011
Last Updated
Apr 19, 2011

Practice Location

Address
110 N ORLANDO AVE
State
Florida
ZIP Code
32751-5574
Phone
(407) 324-6454

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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