Individual
PHORNPHIPHAT WHITEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 S MARKET ST STE 210, ELIZABETHTOWN, PA 17022-2330
(717) 449-4916
Mailing address
722 PINTAIL LN STE 722, ELIZABETHTOWN, PA 17022-7816
(717) 449-4916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013003
PA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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