| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NETTHIP KUNKAEW | 1407461403 | 2020-09-19 |
Netthip Kunkaew is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407461403. Registration indicates Netthip Kunkaew is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Netthip Kunkaew |
| Practice Office Address | 920 AVONOAK TER GLENDALE, CA US |
| Practice Office Telephone | 8189672471 |
| Mailing Address | 920 AVONOAK TER GLENDALE, CA 912061509 US |
| Business Telephone | 8189672471 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 79832
CA |