Individual
EVAN DAVON IVERY-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NW SOUTH OUTER RD STE B, BLUE SPRINGS, MO 64015-2993
(816) 442-1967
Mailing address
1400 NW SOUTH OUTER RD STE B, BLUE SPRINGS, MO 64015-2993
(816) 442-1967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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