MEDICARE: SALAYUTH A SAMREUANG LMT

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	NVMT.13234	NV

General Provider Information

NPI Number	:	1780545764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALAYUTH A SAMREUANG LMT

Provider Business Mailing Address
First Line	:	8948 SANDY ISLE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-6713
Country	:	US
Telephone Number	:	510-876-1024
Fax Number	:

Provider Business Practice Location Address
First Line	:	8948 SANDY ISLE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-6713
Country	:	US
Telephone Number	:	510-876-1024
Fax Number	:

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

Similar Medicare Providers

1831589019 — PHILLIP CANDLAND
Practice Location Address:

6077 ENCHANTED PEAK AVE
LAS VEGAS, NV
89110-6713

Practice Phone: 702-483-9585
Practice Fax:

1356061394 — EMILY WILKINSON
Practice Location Address:

5100 E TROPICANA AVE APT 43F
LAS VEGAS, NV
89122-6713

Practice Phone: 725-236-0588
Practice Fax:

1013866839 — ALICIA SNYDER
Practice Location Address:

6628 SKY POINTE DR STE 100
LAS VEGAS, NV
89131-4071

Practice Phone: 702-419-1533
Practice Fax:

1528918802 — BETTY CINGCON
Practice Location Address:

5916 VIZZI CT
LAS VEGAS, NV
89131-2857

Practice Phone: 702-767-3180
Practice Fax:

1124978903 — ALEXANDER ALBEAR GONGORA
Practice Location Address:

8329 DAWN BREEZE AVE
LAS VEGAS, NV
89131-4614

Practice Phone: 725-227-0381
Practice Fax:

1831057058 — EVERGREEN LIVING LLC
Practice Location Address:

7481 W ROME BLVD
LAS VEGAS, NV
89131-3527

Practice Phone: 480-239-0213
Practice Fax:

Directions to “ SALAYUTH A SAMREUANG LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.