SANTISOUK PROUGH CMT
NPI 1306691449
Registered Nurse - Nurse Massage Therapist (NMT) in Peoria, AZ

Active since April 22, 2024
8278 W LAKE PLEASANT PKWY, PEORIA, AZ 85382(510) 384-5817 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jul 9, 2024, Apr 22, 2024 (3 updates tracked since 2024).

About Santisouk Prough Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTISOUK PROUGH CMT (NPI 1306691449) is an individual nurse massage therapist (nmt) provider in Peoria, Arizona, licensed in Arizona (MT) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1306691449
Entity TypeIndividualFemale
Primary Taxonomy163WM1400X
Provider Legal NameSANTISOUK PROUGHCredential: CMT
Location Address8278 W LAKE PLEASANT PKWYPeoria, AZ 85382-7441
Mailing Address19401 N 15th PlPhoenix, AZ 85024-3625 · (510) 384-5817
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1306691449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Nurse Massage Therapist (NMT)Nursing Service Providers
Taxonomy Code163WM1400X
License Licensed in AZ · MT
8278 W LAKE PLEASANT PKWY, Peoria, AZ 85382

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Nurse Massage Therapist (NMT))
8278 W LAKE PLEASANT PKWY
PEORIA, AZ 85382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santisouk Prough's NPI number?

The NPI number for Santisouk Prough is 1306691449. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Santisouk Prough located?

Santisouk Prough practices at 8278 W Lake Pleasant Pkwy, Peoria, AZ 85382. The listed phone number is (510) 384-5817.

What is Santisouk Prough's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Nurse Massage Therapist (NMT), with taxonomy code 163WM1400X.

When was this NPI record last updated?

The NPPES record for Santisouk Prough was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.