Individual
TROY J LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMT
Contact information
Practice address
2299 PEARL ST STE 102, BOULDER, CO 80302-4669
(303) 995-4398
Mailing address
2299 PEARL ST STE 102, BOULDER, CO 80302-4669
(303) 995-4398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2100
CO
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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