Individual provider · Type 1 NPI

Suphaphorn Sornphet

Massage Therapist · Tyler, TX

NPI number 1912788951 Active

Practice location

11341 Chasewood Dr
Tyler, TX 75703-6607

Call (504) 405-6759 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT136260 (TX)

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 1912788951

Suphaphorn Sornphet's National Provider Identifier is 1912788951, issued on Oct 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tyler, TX. The record was last updated on Oct 6, 2023.