Donna Provost, LMT

NPI #1457821530 in Perkasie, Pennsylvania

Provider Information

NPI Number: 1457821530
Entity Type: Individual
Name: Donna Provost, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 422 S 9TH ST
City: Perkasie
State: Pennsylvania
ZIP Code: 18944-1330
Phone: (215) 817-4534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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