Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Macdonald, LMT

Individual provider Massage Therapist · NPI 1649919309

Evan Macdonald, LMT is a Massage Therapist in Kentwood, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1421 60th St SE
Kentwood, MI 49508-7065
Phone: (616) 610-1179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501015035 (MI)

Record details

NPI number1649919309
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address1111 Port Sheldon St, Jenison, MI 49428-9341

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