Coastal Spa and Salon

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

COASTAL SPA AND SALON

Practice address

20 Racetrack Rd NW
Fort Walton Beach, FL 32547-1642

Phone

(850) 240-5353

NPI assigned

Jul 17, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nattida Bukthan, LE

Title

Owner

Phone

(850) 240-5353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shoshana Simas, MA#75174

  • Massage Therapist
  • Fort Walton Beach, FL
  • NPI 1861313983
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1285554436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471642",
            "telephone_number": "850-240-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471642",
            "telephone_number": "850-240-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPA AND SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BUKTHAN",
        "authorized_official_first_name": "NATTIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-240-5353",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Clifton, NP
• Coast Anesthesia Associates, PLLC
• Coastal Diabetes, LLC
• Coastal Periodontics Practice
• Coastal Radiology Associates PA
• Coastal Vascular and Interventional PLLC
• Coastal Wound Care
• Coastline Medical Services PLLC
• Catherine D Cobbs
• Scarlett Codd, SLP

• Massage Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.