Donavan Lewis Terranova, LMT

NPI #1972089084 in Highland, Utah

Provider Information

NPI Number: 1972089084
Entity Type: Individual
Name: Donavan Lewis Terranova, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 6735 W 10050 N
City: Highland
State: Utah
ZIP Code: 84003-9211
Phone: (801) 669-3963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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