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Ekkaphot Phanthong
Massage Therapist in Concord, California
NPI 1306545413

Ekkaphot Phanthong is a Massage Therapist based in Concord, CA. Ekkaphot Phanthong practices in Concord, CA. The NPI Number for Ekkaphot Phanthong is 1306545413 and holds a License No. 80047 (California).

The current practice location address for Ekkaphot Phanthong is 1790 Ellis St Apt 24, Concord, CA and can be reached out via phone at 443-236-6919.

Location: 1790 Ellis St Apt 24, Concord, CA, 94520-2747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306545413
Provider Name
Ekkaphot Phanthong
Credential
Provider Entity Type
Individual
Gender
Male
Address
1790 Ellis St Apt 24, Concord, CA, 94520-2747
Phone Number
443-236-6919
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1790 Ellis St Apt 24
City
Concord
State
California
Zip
94520-2747
Phone Number
443-236-6919
Fax Number
person
Provider Business Mailing Address Details
Address
1790 Ellis St Apt 24
City
Concord
State
California
Zip
94520-2747
Phone Number
443-236-6919
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
80047 (California)
Definition
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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