Individual provider · Type 1 NPI
Eleanor Marie Laviolette, LMT
Massage Therapist · Troy, NY
NPI number
1578712667
Active
Practice location
1216 Jacob Street
Troy, NY 12180-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 010117-1 (NY) |
| Massage Therapist | 225700000X | 149318-00 |
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 1578712667
Eleanor Marie Laviolette, LMT's National Provider Identifier is 1578712667, issued on Sep 12, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Troy, NY. The record was last updated on Sep 12, 2008.