Individual provider · Type 1 NPI
Evan Macdonald, LMT
Massage Therapist · Kentwood, MI
NPI number
1649919309
Active
Practice location
1421 60th St SE
Kentwood, MI 49508-7065
Mailing address
1111 Port Sheldon St
Jenison, MI 49428-9341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501015035 (MI) |
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.
Other massage therapist providers in Kentwood
About NPI 1649919309
Evan Macdonald, LMT's National Provider Identifier is 1649919309, issued on Jun 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kentwood, MI. The record was last updated on Jun 1, 2022.