Individual provider · Type 1 NPI

Fonkaew Charoenpuk

Massage Therapist · Las Vegas, NV

NPI number 1255228938 Active

Practice location

5975 Thor Cir
Las Vegas, NV 89103-2343

Call (904) 456-7310 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNVMT11918 (NV)

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 1255228938

Fonkaew Charoenpuk's National Provider Identifier is 1255228938, issued on Jun 23, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 23, 2025.