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Chotika Pornphol
Massage Therapist in Glendale, Arizona
NPI 1528744331

Chotika Pornphol is a Massage Therapist based in Glendale, AZ. Chotika Pornphol practices in Glendale, AZ. The NPI Number for Chotika Pornphol is 1528744331 and holds a License No. (Arizona).

The current practice location address for Chotika Pornphol is 22032 N 74Th Ln, Glendale, AZ and can be reached out via phone at 469-915-6565.

Location: 22032 N 74Th Ln, Glendale, AZ, 85310-5637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528744331
Provider Name
Chotika Pornphol
Credential
Provider Entity Type
Individual
Gender
Female
Address
22032 N 74Th Ln, Glendale, AZ, 85310-5637
Phone Number
469-915-6565
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22032 N 74Th Ln
City
Glendale
State
Arizona
Zip
85310-5637
Phone Number
469-915-6565
Fax Number
person
Provider Business Mailing Address Details
Address
22032 N 74Th Ln
City
Glendale
State
Arizona
Zip
85310-5637
Phone Number
469-915-6565
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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