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KEITH ALEXANDER VIDAL
NPI 1063189835
Massage Therapist in Wellington, FL

Active since August 27, 2021
11321 TORCHWOOD CT, WELLINGTON, FL 33414(757) 231-6717 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Alexander Vidal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH ALEXANDER VIDAL (NPI 1063189835) is an individual massage therapist in Wellington, Florida, licensed in Florida (MA97864) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1063189835
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEITH ALEXANDER VIDAL
Location Address11321 TORCHWOOD CTWellington, FL 33414-6024
Mailing AddressPo Box 212041Royal Palm Beach, FL 33421-2041 · (757) 231-6717
Phone(757) 231-6717
Sole ProprietorYes
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1063189835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA97864
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.
11321 TORCHWOOD CT, Wellington, FL 33414
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Vidal's NPI number?

The NPI number for Keith Vidal is 1063189835. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Keith Vidal located?

Keith Vidal practices at 11321 Torchwood Ct, Wellington, FL 33414. The listed phone number is (757) 231-6717.

What is Keith Vidal's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keith Vidal was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.