Individual
DONOVAN SEOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
123 MAIN STREET, LAFAYETTE, CO 80026
(720) 386-1982
Mailing address
PO BOX 16, LAFAYETTE, CO 80026-0016
(720) 386-1982
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023711
CO
Other
Enumeration date
10/07/2020
Last updated
12/17/2021
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