Russell Pen Gaines, LMT
NPI #1639371008 in Destin, Florida
Provider Information
- NPI Number
- 1639371008
- Entity Type
- Individual
- Name
- Russell Pen Gaines, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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