TIMOTHY LYNN RUSSELL (NPI# 1487863403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487863403 |
| Entity Type | Individual |
| Full Name | TIMOTHY LYNN RUSSELL |
| Credential | LMT |
| Practice Address |
1100 E 3rd St Suite G-100 Chattanooga TN 37403-2201 |
| Practice Telephone | 4236431965 |
| Practice Fax Number | 4236432030 |
| Mailing Telephone | 4236431965 |
| Mailing Fax Number | 4236432030 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT173 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306048491 | Timothy Wade Russell | Chiropractor | 325 E. Hawkeye Ave., Remsen, IA 51050-0086 | 2007-06-01 |
| 1770565087 | Timothy Paul Russell | Family Medicine | Unit 45011 Bldg 704, Attn: Mcja-qm, Usa Meddac-japan, Apo, AP 96338-5011 | 2005-11-14 |
| 1528471083 | Timothy Russell | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2014-06-03 |
| 1073937132 | Timothy Glenn Russell | Radiology | 6600 Van Aalst Blvd, Department of Radiology, Fort Benning, GA 31905-2102 | 2014-02-10 |
| 1013264530 | Timothy A Russell | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2012-08-15 |
| 1417270786 | Timothy Gage Russell | Physician Assistant | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2010-03-01 |
| 1831108463 | Timothy Elmer Russell IIi | Dentist | 2616 Sherwood Hall Lane, Suite 405, Alexandria, VA 22306 | 2006-08-05 |
| 1962418103 | Timothy J. Russell | Emergency Medicine | 1200 Maple Rd, Silver Cross, Joliet, IL 60432-1439 | 2006-07-31 |
| Street Address |
1100 E 3RD ST SUITE G-100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162433 | Gary Thomas Barnes | Emergency Medicine | 1100 E 3rd St, Suite 102, Chattanooga, TN 37403-2201 | 2005-05-24 |
| 1598377624 | Alison Nutt | Specialist/Technologist | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-08-19 |
| 1194346320 | Christopher Choe | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-28 |
| 1629698626 | Allan Akin | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-20 |
| 1619596863 | Hannah King | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-08 |
| 1932738176 | Rebecca Neighbor | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-08 |
| 1689203861 | Charles Taylor Millirons IIi | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-08 |
| 1992334130 | Matthew Rose | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-08 |
| 1083233266 | Charles Gober | Student in an Organized Health Care Education/Training Program | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-04-08 |
| 1700412061 | Jennifer Lacie Bradford | Pharmacist | 1100 E 3rd St, Chattanooga, TN 37403-2241 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447750880 | Wendy A Hutchinson | Massage Therapist | 4727 Brainerd Rd Ste B, Chattanooga, TN 37411-3828 | 2018-02-12 |
| 1952819161 | Charlotte Ann Cramer | Massage Therapist | 6043 Shallowford Rd Ste 109, Chattanooga, TN 37421-1653 | 2018-01-22 |
| 1841703147 | Charles Vance Phillips Iv | Massage Therapist | 25 Cherokee Blvd Ste C, Chattanooga, TN 37405-3838 | 2017-11-08 |
| 1841734506 | Stephanie Carter | Massage Therapist | 6347 E Brainerd Rd Ste B, Chattanooga, TN 37421-3977 | 2016-12-14 |
| 1407399256 | Antwon Mason | Massage Therapist | 1701 N Concord Rd, 81, Chattanooga, TN 37421-5755 | 2016-11-28 |
| 1013274463 | Thalia Lael Micah | Massage Therapist | 9425 Mountain Shadows Dr, Chattanooga, TN 37421-3455 | 2012-04-23 |
| 1003115171 | Petra Doris Price | Massage Therapist | 7804 E. Brainerd Rd., Chattanooga, TN 37421 | 2011-03-15 |
| 1588993851 | Tony Padalino | Massage Therapist | 5951 Browntown Rd, Chattanooga, TN 37415-1201 | 2009-12-16 |
| 1932334679 | Full Throttle Massage, Inc. | Massage Therapist | 4121 Hixson Pike, Suite A7, Chattanooga, TN 37415-3125 | 2009-05-26 |
| 1336300482 | Jacqueline Therese Keenum | Massage Therapist | 2554 Harrison Pike, Chattanooga, TN 37406-1422 | 2008-06-20 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.