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Organization
SUNSHINE THAI SPA LLC
Active
Organization
SUNSHINE THAI SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETSARIN CHAIYANUT (OWNER)
(619) 753-4763
Entity
Organization
Contact information
Practice address
348 MIRACLE STRIP PKWY SW STE 11, FORT WALTON BEACH, FL 32548-5257
(850) 716-9959
Mailing address
348 MIRACLE STRIP PKWY SW STE 11, FORT WALTON BEACH, FL 32548-5257
(850) 716-9959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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