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EVAN MACDONALD LMT
NPI 1649919309
Massage Therapist in Kentwood, MI

Active since June 01, 2022
1421 60TH ST SE, KENTWOOD, MI 49508(616) 610-1179 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Macdonald Lmt NPPES

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

EVAN MACDONALD LMT (NPI 1649919309) is an individual massage therapist in Kentwood, Michigan, licensed in Michigan (7501015035) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1649919309
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameEVAN MACDONALDCredential: LMT
Location Address1421 60TH ST SEKentwood, MI 49508-7065
Mailing Address1111 Port Sheldon StJenison, MI 49428-9341 · (616) 610-1179
Phone(616) 610-1179
Sole ProprietorYes
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1649919309 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 MI · 7501015035
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.
1421 60TH ST SE, Kentwood, MI 49508
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Evan Macdonald's NPI number?

The NPI number for Evan Macdonald is 1649919309. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Evan Macdonald located?

Evan Macdonald practices at 1421 60th St SE, Kentwood, MI 49508. The listed phone number is (616) 610-1179.

What is Evan Macdonald'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 Evan Macdonald was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.