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NPI Code Detail

MEDICARE: THAI RELAX WELLNESS AND SPA

MEDICARE: THAI RELAX WELLNESS AND SPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1568329845
Entity Type Code : Organization
Provider Name (Legal Business Name) : THAI RELAX WELLNESS AND SPA
Provider Business Mailing Address
First Line : 54 WHOOPING CRANE DR
Second Line :
City : LAGUNA VISTA
State : TX
Zip : 78578-2690
Country : US
Telephone Number : 956-374-5187
Fax Number :
Provider Business Practice Location Address
First Line : 934 W NOLANA LOOP
Second Line :
City : PHARR
State : TX
Zip : 78577-8340
Country : US
Telephone Number : 956-374-5187
Fax Number :
Authorized Official
Title or Position : MASSAGE THERAPIST
Name : MRS. ANN SUKNONGHE
Credential :
Telephone Number : 972-370-4644
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “THAI RELAX WELLNESS AND SPA ” Practice Location

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