Individual provider · Type 1 NPI

Keith Alexander Vidal

Massage Therapist · Wellington, FL

NPI number 1063189835 Active

Practice location

11321 Torchwood Ct
Wellington, FL 33414-6024

Call (757) 231-6717 Map

Mailing address

PO Box 212041
Royal Palm Beach, FL 33421-2041

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA97864 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1063189835

Keith Alexander Vidal's National Provider Identifier is 1063189835, issued on Aug 27, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wellington, FL. The record was last updated on Aug 27, 2021.