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Ms. Chalisa Thavonrungkit
Massage Therapist in Los Angeles, California
NPI 1497353940

Chalisa Thavonrungkit is a Massage Therapist based in Los Angeles, CA. Chalisa Thavonrungkit practices in Los Angeles, CA. The NPI Number for Chalisa Thavonrungkit is 1497353940 and holds a License No. 76682 (California).

The current practice location address for Chalisa Thavonrungkit is 5440 Carlton Way Apt 105, Los Angeles, CA and can be reached out via phone at 213-268-1246.

Location: 5440 Carlton Way Apt 105, Los Angeles, CA, 90027-4878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497353940
Provider Name
Chalisa Thavonrungkit
Credential
Provider Entity Type
Individual
Gender
Female
Address
5440 Carlton Way Apt 105, Los Angeles, CA, 90027-4878
Phone Number
213-268-1246
Fax Number
Provider Enumeration Date
10/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5440 Carlton Way Apt 105
City
Los Angeles
State
California
Zip
90027-4878
Phone Number
213-268-1246
Fax Number
person
Provider Business Mailing Address Details
Address
5440 Carlton Way Apt 105
City
Los Angeles
State
California
Zip
90027-4878
Phone Number
213-268-1246
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
76682 (California)
Definition
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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