Individual
TERESE R DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., M.M.P.
Contact information
Practice address
127 S WATER ST, HENDERSON, NV 89015-7221
(702) 497-2838
(702) 497-2838
Mailing address
643 MARLBERRY PL, HENDERSON, NV 89015-7474
(702) 497-2838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.307
NV
Other
Enumeration date
07/02/2015
Last updated
03/06/2025
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