Individual provider · Type 1 NPI

Praphaiphan(maria) Wongsuwan-Xenophontos, MASSAGE THERAPIST

Massage Therapist · Rancho Cucamonga, CA

NPI number 1124847892 Active

Practice location

9045 Haven Ave Ste 108
Rancho Cucamonga, CA 91730-5427

Call (626) 421-8875 Map

Mailing address

1303 E Central Ave Unit B
Redlands, CA 92374-4010

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X66452 (CA)

Massage Therapist: 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.

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About NPI 1124847892

Praphaiphan(maria) Wongsuwan-Xenophontos, MASSAGE THERAPIST's National Provider Identifier is 1124847892, issued on Oct 9, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 29, 2026.