Kesara Mai Ngam, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA78493 Issued in FL

Practice address

117 West Oak Drive
Lakeland, FL 33803

Phone

(863) 812-9388

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1902316201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W OAK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033808",
            "telephone_number": "863-812-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST OAK DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-812-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI NGAM",
        "first_name": "KESARA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA78493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Marshall Magnusen, MD
• Madeline A Magrina, SLP
• Jarretta Dee Mahalko, LCSW
• Helena Mahias-Cherry, MD
• Aoife Christin Mahony
• Hien Huy Mai, DO
• Barbara L Main
• Mainsail Medical Inc
• Mair'S Wellcare LLC
• Michael S. Majette, D.C.

• Massage Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.