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

Kevin Emmett Boivin, MT

Individual provider Massage Therapist · NPI 1730619131

Kevin Emmett Boivin, MT is a Massage Therapist in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona and Washington.

Licensed in
AZ, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

14950 W Mountain View Blvd Apt 7205
Surprise, AZ 85374-4722
Phone: (219) 688-4179
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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 MT-28141 (AZ)
Massage Therapist Taxonomy 225700000X · Licence MA.60745513 (WA)

Record details

NPI number1730619131
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedJune 18, 2017
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

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