Individual
MR. KEVIN ALEXANDER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
916 MAIN ST STE 108, RAPID CITY, SD 57701-2606
(605) 391-3788
Mailing address
916 MAIN ST STE 108, RAPID CITY, SD 57701-2606
(605) 391-3788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11393
SD
Other
Enumeration date
12/04/2019
Last updated
01/06/2020
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