Individual provider · Type 1 NPI

Kevin Edgerron, LMT

Massage Therapist · San Antonio, TX

NPI number 1235690272 Active

Practice location

6011 Broadway St
San Antonio, TX 78209-4554

Call (210) 879-8679 Map

Mailing address

3227 Lilly Flower
San Antonio, TX 78253-6098

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT130062 (TX)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1235690272

Kevin Edgerron, LMT's National Provider Identifier is 1235690272, issued on Mar 30, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 30, 2019.