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

Supinda Sirihekaphong

Individual provider Massage Therapist · NPI 1295454502

Supinda Sirihekaphong is a Massage Therapist in Twentynine Palms, California. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

6259 Adobe Rd # A-1
Twentynine Palms, CA 92277-2649
Phone: (760) 206-6467
Show map & directions

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

Specialties & licences

Doula (primary) Taxonomy 374J00000X · Licence 13013 (IL)
Massage Therapist Taxonomy 225700000X · Licence 95831 (CA)

Record details

NPI number1295454502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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