| Krittussapon Kheawbua, | |
|
14030 Chadron Ave Apt 235, Hawthorne, CA 90250-8247 | |
| (310) 456-4999 | |
| Not Available |
| Full Name | Krittussapon Kheawbua |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 14030 Chadron Ave Apt 235, Hawthorne, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194473710 | NPI | - | NPPES |
| 54132 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 85742 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krittussapon Kheawbua, 14030 Chadron Ave Apt 235, Hawthorne, CA 90250-8247 Ph: () - | Krittussapon Kheawbua, 14030 Chadron Ave Apt 235, Hawthorne, CA 90250-8247 Ph: (310) 456-4999 |
Jasmine Lee, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 14037 Yukon Ave Apt 14, Hawthorne, CA 90250 Phone: 310-904-2129 | |
Elisha Andrews, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13611 Yukon Ave Apt 334, Hawthorne, CA 90250 Phone: 323-916-3481 | |
Reynda J King, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12816 Inglewood Ave # 318, Hawthorne, CA 90250 Phone: 424-391-0886 | |
Alyice Rhnee Elster, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13460 Prairie Ave Apt 23, Hawthorne, CA 90250 Phone: 323-443-5965 | |
Anita Zepeda, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 W 148th Pl, Hawthorne, CA 90250 Phone: 619-763-6807 | |
Mr. Brian Jermaine Floyd Sr., Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2851 W 120th St Ste E340, Hawthorne, CA 90250 Phone: 323-642-8786 |