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

Kasanu Patthanadettrakul

Individual provider Massage Therapist · NPI 1386397974

Kasanu Patthanadettrakul is a Massage Therapist in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

15511 Sherman Way Apt 43
Van Nuys, CA 91406-4156
Phone: (949) 524-2555
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 243 (CA)

Record details

NPI number1386397974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2022
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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