Individual provider · Type 1 NPI

Pornsuda Dokthonghom

Massage Therapist · Marina Del Rey, CA

NPI number 1770245342 Active

Practice location

13456 Washington Blvd
Marina Del Rey, CA 90292-5626

Call (916) 847-9429 Map

Mailing address

10326 Almayo Ave Apt 304
Los Angeles, CA 90064-5213

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X83900 (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 1770245342

Pornsuda Dokthonghom's National Provider Identifier is 1770245342, issued on Oct 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Oct 11, 2021.