Individual provider · Type 1 NPI
Ekkaphot Phanthong
Massage Therapist · Concord, CA
NPI number
1306545413
Active
Practice location
1790 Ellis St Apt 24
Concord, CA 94520-2747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 80047 (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 1306545413
Ekkaphot Phanthong's National Provider Identifier is 1306545413, issued on Feb 27, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Concord, CA. The record was last updated on Feb 27, 2023.