1. Home
  2. Directory
  3. California
  4. Van Nuys
  5. Massage Therapist
  6. NPI Profile

KASANU PATTHANADETTRAKUL
NPI 1386397974
Massage Therapist in Van Nuys, CA

Active since February 02, 2022
15511 SHERMAN WAY APT 43, VAN NUYS, CA 91406(949) 524-2555 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2024, Feb 2, 2022 (2 updates tracked since 2022).

About Kasanu Patthanadettrakul NPPES

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

KASANU PATTHANADETTRAKUL (NPI 1386397974) is an individual massage therapist in Van Nuys, California, licensed in California (243) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1386397974
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKASANU PATTHANADETTRAKUL
Location Address15511 SHERMAN WAY APT 43Van Nuys, CA 91406-4156
Mailing Address15511 Sherman Way Apt 43Van Nuys, CA 91406-4156 · (949) 524-2555
Phone(949) 524-2555
Sole ProprietorYes
Enumeration DateFebruary 2, 2022
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1386397974 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 · 243
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.
15511 SHERMAN WAY APT 43, Van Nuys, CA 91406
Open in Google Maps ↗

Other Identifiers 1

Other10431980CA · La Care

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 Kasanu Patthanadettrakul's NPI number?

The NPI number for Kasanu Patthanadettrakul is 1386397974. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Kasanu Patthanadettrakul located?

Kasanu Patthanadettrakul practices at 15511 Sherman Way Apt 43, Van Nuys, CA 91406. The listed phone number is (949) 524-2555.

What is Kasanu Patthanadettrakul'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 Kasanu Patthanadettrakul was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.