| Terisa Bay Russell, LMT | |
|
110 N Orlando Ave, Maitland, FL 32751-5574 | |
| (407) 324-6454 | |
| Not Available |
| Full Name | Terisa Bay Russell |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 110 N Orlando Ave, Maitland, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194020065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA42761 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terisa Bay Russell, LMT 2836 Hunt Club Ln, Orlando, FL 32826-3912 Ph: (407) 595-9130 | Terisa Bay Russell, LMT 110 N Orlando Ave, Maitland, FL 32751-5574 Ph: (407) 324-6454 |
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