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Juttraporn Homsombat
Massage Therapist in Temple City, California
NPI 1417564105

Juttraporn Homsombat is a Massage Therapist based in Temple City, CA. Juttraporn Homsombat practices in Temple City, CA. The NPI Number for Juttraporn Homsombat is 1417564105 and holds a License No. 2169 (California).

The current practice location address for Juttraporn Homsombat is 9432 Las Tunas Dr Apt A, Temple City, CA and can be reached out via phone at 162-663-6465.

Location: 9432 Las Tunas Dr Apt A, Temple City, CA, 91780-2148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417564105
Provider Name
Juttraporn Homsombat
Credential
Provider Entity Type
Individual
Gender
Female
Address
9432 Las Tunas Dr Apt A, Temple City, CA, 91780-2148
Phone Number
162-663-6465
Fax Number
Provider Enumeration Date
09/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9432 Las Tunas Dr Apt A
City
Temple City
State
California
Zip
91780-2148
Phone Number
162-663-6465
Fax Number
person
Provider Business Mailing Address Details
Address
9432 Las Tunas Dr Apt A
City
Temple City
State
California
Zip
91780-2148
Phone Number
162-663-6465
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2169 (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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