Individual provider · Type 1 NPI

Johnny Khamphouseng, LMT

Massage Therapist · Fort Worth, TX

NPI number 1730788787 Active

Practice location

11100 Monica Ct
Fort Worth, TX 76244-7434

Call (682) 247-6075 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1730788787

Johnny Khamphouseng, LMT's National Provider Identifier is 1730788787, issued on Oct 21, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 21, 2020.