Individual provider · Type 1 NPI

Mueanfan Suttipui

Massage Therapist · Stanwood, WA

NPI number 1417624404 Active

Practice location

7207 265th St NW Ste 102
Stanwood, WA 98292-6274

Call (360) 629-6544 Map

Fax (360) 629-4520

Mailing address

980 Falcon Rd
Camano Island, WA 98282-8411

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61162304 (WA)

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 1417624404

Mueanfan Suttipui's National Provider Identifier is 1417624404, issued on Aug 26, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stanwood, WA. The record was last updated on Aug 26, 2021.