| Russell Pen Gaines, LMT | |
|
3999 Commons Dr W, Ste C, Destin, FL 32541 | |
| (850) 837-9552 | |
| Not Available |
| Full Name | Russell Pen Gaines |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3999 Commons Dr W, Destin, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639371008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA18637 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Pen Gaines, LMT 17 Doral Dr, Shalimar, FL 32579 Ph: (850) 651-1732 | Russell Pen Gaines, LMT 3999 Commons Dr W, Ste C, Destin, FL 32541 Ph: (850) 837-9552 |
James A Vonderheide, LMT MA49956 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 Harbor Blvd, Ste 7, Destin, FL 32541 Phone: 850-424-3345 Fax: 850-424-3346 | |
Shayann Crabtree, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12469 Emerald Coast Pkwy W Ste 102, Destin, FL 32550 Phone: 850-269-1700 | |
Mrs. Ann M Rector, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Mountain Dr, Ste. A, Destin, FL 32541 Phone: 850-225-0229 | |
Mr. Larry Stephen Semerad, B.A., L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Gulf Breeze Ct, Destin, FL 32541 Phone: 850-830-4608 | |
Mrs. Jamey Morgan Starling, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1008 Airport Rd, Suite D, Destin, FL 32541 Phone: 850-642-0505 |