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KRITTUSSAPON KHEAWBUA
NPI 1194473710
Massage Therapist in Hawthorne, CA

Active since March 14, 2022
14030 CHADRON AVE APT 235, HAWTHORNE, CA 90250(310) 456-4999 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krittussapon Kheawbua NPPES

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

KRITTUSSAPON KHEAWBUA (NPI 1194473710) is an individual massage therapist in Hawthorne, California, licensed in California (85742) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1194473710
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKRITTUSSAPON KHEAWBUA
Location Address14030 CHADRON AVE APT 235Hawthorne, CA 90250-8247
Mailing Address14030 Chadron Ave Apt 235Hawthorne, CA 90250-8247
Phone(310) 456-4999
Sole ProprietorYes
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1194473710 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 CA · 85742
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.
14030 CHADRON AVE APT 235, Hawthorne, CA 90250
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Other Identifiers 1

Medicaid54132CA

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 Krittussapon Kheawbua's NPI number?

The NPI number for Krittussapon Kheawbua is 1194473710. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Krittussapon Kheawbua located?

Krittussapon Kheawbua practices at 14030 Chadron Ave Apt 235, Hawthorne, CA 90250. The listed phone number is (310) 456-4999.

What is Krittussapon Kheawbua'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 Krittussapon Kheawbua was last updated on March 14, 2022. 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.