Individual provider · Type 1 NPI
Teverly Lynn Lazenby, CMT, LMT
Massage Therapist · Covina, CA
NPI number
1477868388
Active
Practice location
230 W College St, Suite E
Covina, CA 91723-1911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11554 (CA) |
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 1477868388
Teverly Lynn Lazenby, CMT, LMT's National Provider Identifier is 1477868388, issued on Aug 16, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Covina, CA. The record was last updated on Aug 16, 2010.