Sovonya King, LMT
Massage Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1669130613
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1669130613
- Entity type
- Individual (NPI-1)
- Name
- Sovonya King
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT-28054 | AZ | Yes |
Practice location
11011 S 48th St Ste 106Phoenix, AZ 85044-1787
Phone 602-999-3595
Mailing address
3802 E Baseline Rd Apt 1048Phoenix, AZ 85042-7239
Phone 602-999-3595
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