Individual provider · Type 1 NPI

Krittussapon Kheawbua

Massage Therapist · Hawthorne, CA

NPI number 1194473710 Active

Practice location

14030 Chadron Ave Apt 235
Hawthorne, CA 90250-8247

Call (310) 456-4999 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X85742 (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 1194473710

Krittussapon Kheawbua's National Provider Identifier is 1194473710, issued on Mar 14, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hawthorne, CA. The record was last updated on Mar 14, 2022.