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KEVIN EDGERRON LMT
NPI 1235690272
Massage Therapist in San Antonio, TX

Active since March 30, 2019
6011 BROADWAY ST, SAN ANTONIO, TX 78209(210) 879-8679 Get Directions Write a Review

NPPES record last updated: March 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Edgerron Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN EDGERRON LMT (NPI 1235690272) is an individual massage therapist in San Antonio, Texas, licensed in Texas (MT130062) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1235690272
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEVIN EDGERRONCredential: LMT
Location Address6011 BROADWAY STSan Antonio, TX 78209-4554
Mailing Address3227 Lilly FlowerSan Antonio, TX 78253-6098 · (719) 246-0031
Phone(210) 879-8679
Sole ProprietorYes
Enumeration DateMarch 30, 2019
✔ NPI 1235690272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · MT130062
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.
6011 BROADWAY ST, San Antonio, TX 78209
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOE ANTHONY DUARTE D.C.
Chiropractor (Sports Physician)
6011 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 771-2136
REVOLUTION WELLNESS
Chiropractor
6011 BROADWAY ST, 101
SAN ANTONIO, TX 78209
Bexar County (210) 771-2136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Edgerron's NPI number?

The NPI number for Kevin Edgerron is 1235690272. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Kevin Edgerron located?

Kevin Edgerron practices at 6011 Broadway St, San Antonio, TX 78209. The listed phone number is (210) 879-8679.

What is Kevin Edgerron's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kevin Edgerron was last updated on March 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.