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Mr. Donovan Shane Lavergne, LMP
Massage Therapist in Seattle, Washington
NPI 1154563310

Donovan Shane Lavergne is a Massage Therapist based in Seattle, WA. Donovan Shane Lavergne practices in Seattle, WA and has the professional credentials of LMP. The NPI Number for Donovan Shane Lavergne is 1154563310 and holds a License No. MA60041587 (Washington).

The current practice location address for Donovan Shane Lavergne is 10021 Holman Rd Nw, Seattle, WA and can be reached out via phone at 206-632-8300 and via fax at 206-632-8301.

Location: 10021 Holman Rd Nw, Seattle, WA, 98177-4920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154563310
Provider Name
Donovan Shane Lavergne
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
10021 Holman Rd Nw, Seattle, WA, 98177-4920
Phone Number
206-632-8300
Fax Number
206-632-8301
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10021 Holman Rd Nw
City
Seattle
State
Washington
Zip
98177-4920
Phone Number
206-632-8300
Fax Number
206-632-8301
person
Provider Business Mailing Address Details
Address
10021 Holman Rd Nw
City
Seattle
State
Washington
Zip
98177-4920
Phone Number
206-632-8300
Fax Number
206-632-8301
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60041587 (Washington)
Definition
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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