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Evan Davon Ivery-Long

NPI 1306659453ActiveIndividual· Massage Therapist· Blue Springs, MO

Massage Therapist in Blue Springs, Missouri, with an NPI issued in January 2025.

Overview

NPI1306659453
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 30, 2025
Last updated in NPPESJan 30, 2025
Certified by providerJan 30, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Massage Therapist Primary225700000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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