Individual
MISS PHATCHADAPORN ELLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT142374
Contact information
Practice address
504 CALMO CT, LIBERTY HILL, TX 78642-2503
(425) 442-7178
Mailing address
504 CALMO CT, LIBERTY HILL, TX 78642-2503
(425) 442-7178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT142374
TX
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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