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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COASTAL SPA AND SALON
NPI 1285554436
Clinic/Center - Rehabilitation in Fort Walton Beach, FL

Active since July 17, 2026
20 RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 240-5353 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Spa And Salon NPPES

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

COASTAL SPA AND SALON (NPI 1285554436) is a healthcare organization registered as a rehabilitation in Fort Walton Beach, Florida and active in the NPI registry since July 2026. The organization lists Nattida Bukthan, Owner, as its authorized official.

NPPES Registry Identity

NPI1285554436
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameCOASTAL SPA AND SALON
Location Address20 RACETRACK RD NWFort Walton Beach, FL 32547-1642
Mailing Address20 Racetrack Rd NwFort Walton Beach, FL 32547-1642 · (850) 240-5353
Phone(850) 240-5353
Organization SubpartNo
Authorized OfficialNattida BukthanOwner · (850) 240-5353
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1285554436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
20 RACETRACK RD NW, Fort Walton Beach, FL 32547
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOSHANA SIMAS MA#75174
Rehabilitation Practitioner
20 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 240-5353

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 Coastal Spa And Salon's NPI number?

The NPI number for Coastal Spa And Salon is 1285554436. It was assigned to this organization in the NPPES registry on July 17, 2026.

Where is Coastal Spa And Salon located?

Coastal Spa And Salon is located at 20 Racetrack Rd NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 240-5353.

What is Coastal Spa And Salon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Coastal Spa And Salon was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.