Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Phatchadaporn Ellwood, MT142374

Individual provider Massage Therapist · NPI 1396664678

Miss. Phatchadaporn Ellwood, MT142374 is a Massage Therapist in Liberty Hill, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

504 Calmo Ct
Liberty Hill, TX 78642-2503
Phone: (425) 442-7178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT142374 (TX)

Record details

NPI number1396664678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT142374
Sole proprietorYes
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 12, 2026