Organization
THAI-ISSAN THERAPEUTIC MASSAGE, LLC
Active
Parent organization
THAI-ISSAN THERAPEUTIC MASSAGE, LLC
Other names
Thai-Issan Massage Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THAI-ISSAN THERAPEUTIC MASSAGE, LLC
Authorized official
MS. SATHIPORN SONGSORN LMT, PMT, PDSO (PRESIDENT)
(808) 593-8866
Entity
Organization
Contact information
Practice address
655 KEEAUMOKU ST STE 102, HONOLULU, HI 96814-3006
(808) 593-8866
(808) 593-8035
Mailing address
1281 S KING ST, HONOLULU, HI 96814-2254
(808) 593-8866
(808) 593-8035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MAT-13238
HI
225700000X
Massage Therapist
Primary
MAT-8376
HI
Other
Enumeration date
10/30/2015
Last updated
11/16/2015
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