SUPHAPHORN SORNPHET
NPI 1912788951
Massage Therapist in Tyler, TX

Active since October 06, 2023
11341 CHASEWOOD DR, TYLER, TX 75703(504) 405-6759 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suphaphorn Sornphet NPPES

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

SUPHAPHORN SORNPHET (NPI 1912788951) is an individual massage therapist in Tyler, Texas, licensed in Texas (MT136260) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1912788951
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUPHAPHORN SORNPHET
Location Address11341 CHASEWOOD DRTyler, TX 75703-6607
Mailing Address11341 Chasewood DrTyler, TX 75703-6607
Sole ProprietorYes
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
NPI 1912788951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in TX · MT136260
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
11341 CHASEWOOD DR, Tyler, TX 75703

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 Suphaphorn Sornphet's NPI number?

The NPI number for Suphaphorn Sornphet is 1912788951. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Suphaphorn Sornphet located?

Suphaphorn Sornphet practices at 11341 Chasewood Dr, Tyler, TX 75703. The listed phone number is (504) 405-6759.

What is Suphaphorn Sornphet's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Suphaphorn Sornphet was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.