Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell Pen Gaines, LMT

Individual provider Massage Therapist · NPI 1639371008

Russell Pen Gaines, LMT is a Massage Therapist in Destin, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

3999 Commons Dr W Ste C
Destin, FL 32541
Phone: (850) 837-9552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA18637 (FL)

Record details

NPI number1639371008
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 8, 2007

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