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

Theuthmany Suphantavong

Individual provider Personal Care Attendant · NPI 1790977999

Theuthmany Suphantavong is a Personal Care Attendant in Saint Paul, Minnesota. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

23 Empire Dr Ste 123
Saint Paul, MN 55103-1856
Phone: (651) 222-2787
Fax: (651) 224-1057
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1790977999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007
Mailing address500 2nd St Se, Austin, MN 55912-3528

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