SearchTexas225700000X

Kevin Edgerron, LMT

NPI 1235690272 · on the registry since 2019 · sole proprietor

Practice

Address
6011 Broadway St
San Antonio, TX 78209
Phone
(210) 879-8679
Organisation at this address
Revolution Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas