KEVIN EMMETT BOIVIN MT NPI 1730619131

NPI Information

NPI: 1730619131
Provider Name: KEVIN EMMETT BOIVIN, MT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
14950 W MOUNTAIN VIEW BLVD APT 7205
SURPRISE, AZ
ZIP 85374
Phone: (219) 688-4179
Get Directions

Kevin Emmett Boivin, MT is a massage therapist in Surprise, AZ. The provider is 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. Kevin Emmett Boivin, MT NPI is 1730619131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14950 W MOUNTAIN VIEW BLVD APT 7205
SURPRISE, AZ
ZIP 85374-722
Phone: (219) 688-4179

The enumeration date for this NPI number is 6/18/2017 and was last updated on 1/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA.60745513	WASHINGTON	No
2	225700000X	Massage Therapist		MT-28141	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1972655132	OTHER	WASHINGTON	REGENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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