KESARA MAI NGAM (NPI# 1902316201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902316201 |
| Entity Type | Individual |
| Full Name | KESARA MAI NGAM |
| Credential | LMT |
| Practice Address |
117 West Oak Drive Lakeland FL 33803 |
| Mailing Address |
117 W Oak Dr Lakeland FL 33803-3808 |
| Practice Telephone | 8638129388 |
| Mailing Telephone | 8638129388 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA78493 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
117 WEST OAK DRIVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| 1578800082 | Margaret S Henry | Massage Therapist | 213 Kerney Wood St., Lakeland, FL 33803 | 2013-01-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818214 | Ashley Renae Rose | Massage Therapist | 3569 Marsh Wren St, Lakeland, FL 33811-1331 | 2020-10-11 |
| 1184112849 | Christine Rivero | Massage Therapist | 3430 Saddle Creek Rd, Lakeland, FL 33801-9691 | 2018-04-27 |
| 1841713831 | Ladia Shaqwunta Paulk | Massage Therapist | 412 Longfellow Blvd Ste 2, Lakeland, FL 33801-2404 | 2017-07-20 |
| 1417341157 | John Lowell Hammon Iv | Massage Therapist | 3425 Oakland Rd S, Lakeland, FL 33801-9564 | 2015-03-19 |
| 1205238094 | Kristen Fry | Massage Therapist | 1509 Crystal Lake Dr, Lakeland, FL 33801-5913 | 2014-09-23 |
| 1497194161 | Austin Clay Baker | Massage Therapist | 4414 Florida National Dr, Lakeland, FL 33813-1515 | 2013-06-17 |
| 1578800082 | Margaret S Henry | Massage Therapist | 213 Kerney Wood St., Lakeland, FL 33803 | 2013-01-04 |
| 1265796924 | James Morrow | Massage Therapist | 201 N Kentucky Ave Ste 102, Lakeland, FL 33801-4908 | 2012-06-27 |
| 1235414616 | Robert J Ciccone | Massage Therapist | 7110 Odoniel Loop W, Lakeland, FL 33809-2333 | 2011-10-17 |
| 1770872939 | Denise Minette Gregory | Massage Therapist | 112 E Pine St, Lakeland, FL 33801-4965 | 2011-03-28 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.