Individual provider · Type 1 NPI

Kevin Emmett Boivin, MT

Massage Therapist · Surprise, AZ

NPI number 1730619131 Active

Practice location

14950 W Mountain View Blvd Apt 7205
Surprise, AZ 85374-4722

Call (219) 688-4179 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA.60745513 (WA)
Massage Therapist Primary 225700000XMT-28141 (AZ)

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 1730619131

Kevin Emmett Boivin, MT's National Provider Identifier is 1730619131, issued on Jun 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Surprise, AZ. The record was last updated on Jan 4, 2022.