KEEGAN RYAN FLAME THROWER LMT NPI 1700147121

NPI Information

  • NPI: 1700147121
  • Provider Name: KEEGAN RYAN FLAME THROWER, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 15215 US HIGHWAY 19
    SUITE H
    HUDSON, FL
    ZIP 34667
  • Phone: (727) 828-7070

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NPI Details

Keegan Ryan Flame Thrower, LMT is a massage therapist in Hudson, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Keegan Ryan Flame Thrower, LMT NPI is 1700147121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15215 US HIGHWAY 19
SUITE H
HUDSON, FL
ZIP 34667-675
Phone: (727) 828-7070

The enumeration date for this NPI number is 6/1/2012 and was last updated on 6/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA61730FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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