Individual provider · Type 1 NPI

Donovan Shane Lavergne, LMP

Massage Therapist · Seattle, WA

NPI number 1154563310 Active

Practice location

10021 Holman Rd NW
Seattle, WA 98177-4920

Call (206) 632-8300 Map

Fax (206) 632-8301

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60041587 (WA)

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.

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About NPI 1154563310

Donovan Shane Lavergne, LMP's National Provider Identifier is 1154563310, issued on Apr 1, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Apr 1, 2009.