Individual provider · Type 1 NPI

Kesara Mai Ngam, LMT

Massage Therapist · Lakeland, FL

NPI number 1902316201 Active

Practice location

117 West Oak Drive
Lakeland, FL 33803

Call (863) 812-9388 Map

Mailing address

117 W Oak Dr
Lakeland, FL 33803-3808

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA78493 (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 1902316201

Kesara Mai Ngam, LMT's National Provider Identifier is 1902316201, issued on Oct 2, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 2, 2017.