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Phatthana Penmongkhon
Massage Therapist in San Francisco, California
NPI 1811503493

Phatthana Penmongkhon is a Massage Therapist based in San Francisco, CA. Phatthana Penmongkhon practices in San Francisco, CA. The NPI Number for Phatthana Penmongkhon is 1811503493 and holds a License No. 8605 (California).

The current practice location address for Phatthana Penmongkhon is 1367 41St Ave, San Francisco, CA and can be reached out via phone at 415-999-7320.

Location: 1367 41St Ave, San Francisco, CA, 94122-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811503493
Provider Name
Phatthana Penmongkhon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1367 41St Ave, San Francisco, CA, 94122-1206
Phone Number
415-999-7320
Fax Number
Provider Enumeration Date
09/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1367 41St Ave
City
San Francisco
State
California
Zip
94122-1206
Phone Number
415-999-7320
Fax Number
person
Provider Business Mailing Address Details
Address
1367 41St Ave
City
San Francisco
State
California
Zip
94122-1206
Phone Number
415-999-7320
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8605 (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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