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NPI 1730625286 · live from the CMS NPI Registry

Kevin Brown

Massage Therapist in Covington, LA. National Provider Identifier 1730625286, active.

NPI record

NPI1730625286 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location222 N Vermont St Ste J, Covington, LA 70433
Practice phone985-788-8350
Mailing address70331 L St, Covington, LA 70433
EnumeratedJanuary 9, 2017
Last updatedMay 18, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000XLA-4964 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.