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

Individual provider Massage Therapist · NPI 1821767435

Poonchida Sukruttanavasin is a Massage Therapist in Alexandria, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
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Practice location Address checks out

5975 Terrapin Pl Unit 102
Alexandria, VA 22310-5459
Phone: (571) 365-1579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019014665 (VA)

Record details

NPI number1821767435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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