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

Keith Alexander Vidal

Individual provider Massage Therapist · NPI 1063189835

Keith Alexander Vidal is a Massage Therapist in Wellington, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

11321 Torchwood Ct
Wellington, FL 33414-6024
Phone: (757) 231-6717
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA97864 (FL)

Record details

NPI number1063189835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing addressPo Box 212041, Royal Palm Beach, FL 33421-2041

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