Individual provider · Type 1 NPI

Poonchida Sukruttanavasin

Massage Therapist · Alexandria, VA

NPI number 1821767435 Active

Practice location

5975 Terrapin Pl Unit 102
Alexandria, VA 22310-5459

Call (571) 365-1579 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019014665 (VA)

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 1821767435

Poonchida Sukruttanavasin's National Provider Identifier is 1821767435, issued on Sep 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alexandria, VA. The record was last updated on Sep 8, 2021.