Awatsada Thongkopphet

NPI #1497201396 in Aiea, Hawaii

Provider Information

NPI Number: 1497201396
Entity Type: Individual
Name: Awatsada Thongkopphet
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 98-027 HEKAHA ST
Address 2: BUILDING 3 UNIT 21
City: Aiea
State: Hawaii
ZIP Code: 96701-4910
Phone: (808) 457-0260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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