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Wannapa Kasuwan, LMT
Massage Therapist in Prescott Valley, Arizona
NPI 1851947436

Wannapa Kasuwan is a Massage Therapist based in Prescott, AZ. Wannapa Kasuwan practices in Prescott Valley, AZ and has the professional credentials of LMT. The NPI Number for Wannapa Kasuwan is 1851947436 and holds a License No. MT-21994 (Arizona).

The current practice location address for Wannapa Kasuwan is 8200 E Jacque Dr, Prescott Valley, AZ and can be reached out via phone at 928-277-8715 and via fax at 800-536-1048.

Location: 8200 E Jacque Dr, Prescott Valley, AZ, 86301-1164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851947436
Provider Name
Wannapa Kasuwan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
8200 E Jacque Dr, Prescott Valley, AZ, 86301-1164
Phone Number
928-277-8715
Fax Number
800-536-1048
Provider Enumeration Date
08/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 E Jacque Dr
City
Prescott Valley
State
Arizona
Zip
86314-6172
Phone Number
928-277-8715
Fax Number
800-536-1048
person
Provider Business Mailing Address Details
Address
8200 E Jacque Dr
City
Prescott Valley
State
Arizona
Zip
86314-6172
Phone Number
928-277-8715
Fax Number
800-536-1048
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT-21994 (Arizona)
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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