person
Poonchida Sukruttanavasin
Massage Therapist in Alexandria, Virginia
NPI 1821767435

Poonchida Sukruttanavasin is a Massage Therapist based in Alexandria, VA. Poonchida Sukruttanavasin practices in Alexandria, VA. The NPI Number for Poonchida Sukruttanavasin is 1821767435 and holds a License No. 0019014665 (Virginia).

The current practice location address for Poonchida Sukruttanavasin is 5975 Terrapin Pl Unit 102, Alexandria, VA and can be reached out via phone at 571-365-1579.

Location: 5975 Terrapin Pl Unit 102, Alexandria, VA, 22310-5459
person
Provider Profile Details
NPI Number
1821767435
Provider Name
Poonchida Sukruttanavasin
Credential
Provider Entity Type
Individual
Gender
Female
Address
5975 Terrapin Pl Unit 102, Alexandria, VA, 22310-5459
Phone Number
571-365-1579
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5975 Terrapin Pl Unit 102
City
State
Zip
22310-5459
Phone Number
571-365-1579
Fax Number
person
Provider Business Mailing Address Details
Address
5975 Terrapin Pl Unit 102
City
State
Zip
22310-5459
Phone Number
571-365-1579
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
0019014665 (Virginia)
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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