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Individual

SUPHASUTA BASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5959 S STAPLES ST STE 211, CORPUS CHRISTI, TX 78413-3844
(361) 462-1867
(361) 462-4224
Mailing address
5959 S STAPLES ST STE 211, CORPUS CHRISTI, TX 78413-3844
(361) 462-1867
(361) 462-4224

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT147781
TX

Other

Enumeration date
07/15/2026
Last updated
07/15/2026
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