Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kann T Tan

Individual provider Massage Therapist · NPI 1982213179

Kann T Tan is a Massage Therapist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

18216 64th Ave
Fresh Meadows, NY 11365-2105
Phone: (347) 790-0888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 029066 (NY)

Record details

NPI number1982213179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address18216 64th Ave, Fresh Meadows, NY 11365-2105

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