Individual provider · Type 1 NPI

Chelsea Phengchanh, LMT

Massage Therapist · Ponte Vedra Beach, FL

NPI number 1487323523 Active

Practice location

302 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-1812

Call (904) 316-3760 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X0019018368 (VA)
Massage Therapist Primary 225700000XMT80098 (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 1487323523

Chelsea Phengchanh, LMT's National Provider Identifier is 1487323523, issued on Sep 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Apr 22, 2023.