KEVIN EDGERRON


Address: 6011 Broadway St, San Antonio, TX 78209-4554
Phone: 2108798679

KEVIN EDGERRON (NPI# 1235690272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235690272
Entity Type Individual
Full Name KEVIN EDGERRON
Credential LMT
Practice Address 6011 Broadway St
San Antonio
TX 78209-4554
Mailing Address 3227 Lilly Flower
San Antonio
TX 78253-6098
Practice Telephone 2108798679
Mailing Telephone 7192460031
Enumeration Date 2019-03-30
Last Update Date 2019-03-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT130062 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6011 BROADWAY ST
City SAN ANTONIO
State TX
Zip Code 78209-4554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356510911 Joe Anthony Duarte Chiropractor 6011 Broadway St, San Antonio, TX 78209-4554 2008-02-27
1407115934 Revolution Wellness Chiropractor 6011 Broadway St, 101, San Antonio, TX 78209-4554 2012-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891346359 Westlake Dermatology of San Antonio Pllc Dermatology 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 2019-09-26
1265086045 Westlake Dermatology, Pa Dermatology 5500 Broadway Ave, Alamo Heights, TX 78209 2019-07-30
1194207530 Arthur Davies Licensed Vocational Nurse 8700 Crownhill Blvd #300, San Antonio, TX 78209 2018-09-01
1538649462 Jessica Michelle Moore Licensed Vocational Nurse 8400 Crown Hill Blvd, San Antonio, TX 78209 2018-08-20
1871072645 Olawunmi Olapeju Odele Licensed Vocational Nurse 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 2018-08-12
1265921126 Ashley L Garcia Physician Assistant 414 W Sunset Rd Ste 205, San Antonio, TX 78209 2018-05-07
1083117428 New Choices Treatment Center LLC Substance Abuse Rehabilitation Facility 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 2018-03-12
1629570106 Julieta Rubio Hobbs Counselor 4301 Broadway St. 438, San Antonio, TX 78209 2018-03-01
1326550187 Shannon Lee Crowley Occupational Therapy Assistant 403 Irvington Dr, San Antonio, TX 78209 2017-11-01
1932627007 Juanita De Luna Salazar Physical Therapist 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 2017-09-08
Find all providers in zip 78209

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154922474 Shavana Williams Massage Therapist 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 2020-11-03
1144836743 Amanda Lozano Massage Therapist 7810 Velez Park Dr, San Antonio, TX 78249-4479 2020-09-18
1740895036 Lisa Kozodoy Massage Therapist 4847 Brandeis St Unit 2201, San Antonio, TX 78249-4387 2020-09-13
1922612605 Stephanie Clark Massage Therapist 15227 Spring Cor, San Antonio, TX 78247-1693 2020-09-01
1629681549 Nadira Campbell Massage Therapist 9525 Lorene Ln Apt 190, San Antonio, TX 78216-5008 2020-08-29
1457963688 Kelsie Webb Massage Therapist 25675 Overlook Pkwy Apt 1904, San Antonio, TX 78260-2557 2020-08-19
1891306197 Michael Owen Chase Massage Therapist 147 Teakwood Ln, San Antonio, TX 78216-6823 2020-08-11
1790318400 Judith Poole Massage Therapist 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 2020-02-20
1205472701 Joshua Alexander Massage Therapist 7530 Bandera Rd Ste 120, San Antonio, TX 78238-1269 2019-11-20
1154972545 Raul Ramirez IIi Massage Therapist 18818 Meisner Dr Ste 102, San Antonio, TX 78258-3569 2019-09-26
Find all providers in SAN ANTONIO

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78209

Improve Information

Please comment or provide details below to improve the information on KEVIN EDGERRON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches