| Andrew Tantisukarom, | |
|
2805 Abbot Kinney Blvd, Venice, CA 90291-6722 | |
| (323) 683-5074 | |
| Not Available |
| Full Name | Andrew Tantisukarom |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2805 Abbot Kinney Blvd, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407765837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 82023 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Tantisukarom, 809 N Orlando Ave, West Hollywood, CA 90069-5413 Ph: (323) 683-5074 | Andrew Tantisukarom, 2805 Abbot Kinney Blvd, Venice, CA 90291-6722 Ph: (323) 683-5074 |
Hai Ou Dai, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St, Venice, CA 90291 Phone: 310-399-5566 |
Parichart Sittikosoljit, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St, Venice, CA 90291 Phone: 310-399-5566 |
Jacob Campbell, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St, Venice, CA 90291 Phone: 310-924-4913 |
Tiphavee Ketlek, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St, Venice, CA 90291 Phone: 310-399-5566 |
Karyn Brittman, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1404 Elkgrove Cir Apt 4, Venice, CA 90291 Phone: 323-683-9339 |
Kanokwan Sittikosonjit, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St, Venice, CA 90291 Phone: 310-399-5566 |
Massage One Wellness Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Main St # C12, Venice, CA 90291 Phone: 310-399-5566 |