Jakkrapong Suebshomphoo Valid NPI
Individual provider · Massage Therapist · Sun Valley, CA
- NPI
- 1407423874
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 85662
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-06-05
- Last updated
- 2021-06-05
Practice location
13041 Roscoe Blvd
Sun Valley, CA 91352-3736
(818) 987-5505