Individual
TIMOTHY LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1100 E 3RD ST, SUITE G-100, CHATTANOOGA, TN 37403-2201
(423) 643-1965
(423) 643-2030
Mailing address
1100 E 3RD ST, SUITE G-100, CHATTANOOGA, TN 37403-2201
(423) 643-1965
(423) 643-2030
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT173
TN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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