Individual provider · Type 1 NPI

Ted T. Tavernier, CMT, LMT

Massage Therapist · Lakewood, CO

NPI number 1710189725 Active

About NPI 1710189725

Ted T. Tavernier, CMT, LMT's National Provider Identifier is 1710189725, issued on Jun 1, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, CO. The record was last updated on Jul 8, 2007.