Mr. Scott Gould Kingphavong, LMT
Mr. Scott Gould Kingphavong, LMT is a Massage Therapist in Oak Forest, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
- LMT — Licensed Massage Therapist
- A state-licensed massage therapist.
Practice location Address checks out
5936 Essex RdOak Forest, IL 60452-2824
Phone: (779) 774-5493
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 7124 Windsor Lake Pkwy, Loves Park, IL 61111-3800 — (779) 208-3620
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 227.014953 (IL) |
|---|
Record details
| NPI number | 1710333638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMT |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2016 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
Other providers in Oak Forest
-
Arista Wilder, LMT
15811 Terrace Dr Apt 2CL, Oak Forest, IL 60452-5247 · (708) 731-1859