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Kasanu Patthanadettrakul
NPI 1386397974 · on the registry since 2022 · sole proprietor
Practice
- Address
- 15511 Sherman Way Apt 43
Van Nuys, CA 91406 - Phone
- (949) 524-2555
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California