Individual provider · Type 1 NPI

Evan Davon Ivery-Long

Massage Therapist · Blue Springs, MO

NPI number 1306659453 Active

Practice location

1400 NW South Outer Rd Ste B
Blue Springs, MO 64015-2993

Call (816) 442-1967 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1306659453

Evan Davon Ivery-Long's National Provider Identifier is 1306659453, issued on Jan 30, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blue Springs, MO. The record was last updated on Jan 30, 2025.