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

Santisouk Prough, CMT

Individual provider Nurse Massage Therapist (NMT) · NPI 1306691449

Santisouk Prough, CMT is a Nurse Massage Therapist (NMT) in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

8278 W Lake Pleasant Pkwy
Peoria, AZ 85382-7441
Phone: (510) 384-5817
Show map & directions

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

Specialties & licences

Nurse Massage Therapist (NMT) (primary) Taxonomy 163WM1400X · Licence MT (AZ)

Record details

NPI number1306691449
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address19401 N 15th Pl, Phoenix, AZ 85024-3625

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