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Kevin Emmett Boivin, MT
Massage Therapist in Surprise, Arizona
NPI 1730619131

Kevin Emmett Boivin is a Massage Therapist based in Surprise, AZ. Kevin Emmett Boivin practices in Surprise, AZ and has the professional credentials of MT. The NPI Number for Kevin Emmett Boivin is 1730619131 and holds a License No. MA.60745513 (Arizona).

The current practice location address for Kevin Emmett Boivin is 14950 W Mountain View Blvd Apt 7205, Surprise, AZ and can be reached out via phone at 219-688-4179.

Location: 14950 W Mountain View Blvd Apt 7205, Surprise, AZ, 85374-4722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730619131
Provider Name
Kevin Emmett Boivin
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
14950 W Mountain View Blvd Apt 7205, Surprise, AZ, 85374-4722
Phone Number
219-688-4179
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972655132 01 WA REGENCE
institution
Provider Business Practice Location Address Details
Address
14950 W Mountain View Blvd Apt 7205
City
Surprise
State
Arizona
Zip
85374-4722
Phone Number
219-688-4179
Fax Number
person
Provider Business Mailing Address Details
Address
14950 W Mountain View Blvd Apt 7205
City
Surprise
State
Arizona
Zip
85374-4722
Phone Number
219-688-4179
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA.60745513 (Washington)
Definition
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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