Organization
MINT THAI MASSAGE LLC
Active
Other names
Thai Therapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAMFON KANPHAI LMT & MMP (MASSAGE THERAPIST)
(425) 502-0496
Entity
Organization
Contact information
Practice address
25326 128TH AVE SE, KENT, WA 98030-6605
(425) 502-0496
Mailing address
25326 128TH AVE SE, KENT, WA 98030-6605
(425) 502-0496
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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