MEDICARE: BOONJIRA JANKHIEW

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
1	225700000X	Massage Therapist	MT141670	TX

General Provider Information

NPI Number	:	1740170547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOONJIRA JANKHIEW

Provider Business Mailing Address
First Line	:	2402 GARDEN FALLS DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-2121
Country	:	US
Telephone Number	:	346-656-2456
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 GARDEN FALLS DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-2121
Country	:	US
Telephone Number	:	346-656-2456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2025
Last Update Date	:	07/04/2025

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Directions to “ BOONJIRA JANKHIEW ” Practice Location

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