Individual provider · Type 1 NPI

Kavalin Charoenraksa

Massage Therapist · San Diego, CA

NPI number 1104688761 Active

Practice location

4620 Alvarado Canyon Rd, Unit 14
San Diego, CA 92120

Call (858) 308-6394 Map

Mailing address

8883 Haveteur Way
San Diego, CA 92123

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X95239 (CA)

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 1104688761

Kavalin Charoenraksa's National Provider Identifier is 1104688761, issued on Jan 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Diego, CA. The record was last updated on Jan 29, 2024.