Individual
JOHN F. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
175 SW 7TH ST, STE 1916, MIAMI, FL 33130-2992
(305) 794-2340
(305) 937-0110
Mailing address
1835 NE MIAMI GARDENS DR, STE 195, NORTH MIAMI BEACH, FL 33179-5035
(305) 794-2340
(305) 937-0110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA18547
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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