Lydia M. Provost, CMT
Lydia M. Provost, CMT is a Massage Therapist in Aurora, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2010
Practice location Address checks out
2226 S Fraser St Unit 5Aurora, CO 80014-4534
Phone: (303) 695-1609
Fax: (303) 695-0382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 9091, MT (CO) |
|---|
Record details
| NPI number | 1568772143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CMT |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2010 |
| Last updated in NPPES | October 15, 2010 |
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