TIMOTHY LYNN RUSSELL LMT NPI 1487863403

NPI Information

NPI: 1487863403
Provider Name: TIMOTHY LYNN RUSSELL, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1100 E 3RD ST
SUITE G-100
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 643-1965
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Timothy Lynn Russell, LMT is a massage therapist in Chattanooga, TN. The provider is 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. Timothy Lynn Russell, LMT NPI is 1487863403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 E 3RD ST
SUITE G-100
CHATTANOOGA, TN
ZIP 37403-201
Phone: (423) 643-1965
Fax: (423) 643-2030

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT173	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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