Donavan Lewis Terranova, LMT is a
Massage Therapist based in Highland, Utah. Donavan Lewis Terranova is licensed to practice in Utah (license number 10295688-4701) and his current practice location is
6735 W 10050 N, Highland, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 669-3963.
NPI number for Donavan Lewis Terranova is 1972089084 and his current mailing address is 6735 W 10050 N, Highland, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972089084.
Healthcare Provider's Profile
| Full Name | Donavan Lewis Terranova |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 6735 W 10050 N, Highland, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972089084
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 07/12/2018
Medical Identifiers
Medical identifiers for Donavan Lewis Terranova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972089084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 10295688-4701 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donavan Lewis Terranova is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Donavan Lewis Terranova, LMT
6735 W 10050 N,
Highland, UT 84003-9211
Ph: (801) 669-3963 | Donavan Lewis Terranova, LMT
6735 W 10050 N,
Highland, UT 84003-9211
Ph: (801) 669-3963 |
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