Mint Thai Massage LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MINT THAI MASSAGE LLC

Practice address

25326 128TH Ave SE
Kent, WA 98030-6605

Phone

(425) 502-0496

NPI assigned

Aug 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Namfon Kanphai, LMT & MMP

Title

Massage Therapist

Phone

(425) 502-0496

Specialties & licenses 1

Addresses

Other names 1

• Thai Therapeutic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1740064849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25326 128TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306605",
            "telephone_number": "425-502-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25326 128TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306605",
            "telephone_number": "425-502-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT THAI MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "KANPHAI",
        "authorized_official_first_name": "NAMFON",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "425-502-0496",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT & MMP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thai Therapeutic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tairyn Miller
• Tonya Latrease Miller, BA, CDPT
• Liliya Milyan, MASSAGE PRACTITIONER
• Min-N-Out Dental&Denture Service Corp.
• David Minsk
• Edna Lizeth Miralda, CHI
• Mender Misghina, RN
• Susan Munro Mitchell-Block, RN-BC
• Helen Viginia Mitchell, LMP
• Katherine Mitchell, LMHC

• Medical Specialty Clinic/Center in Kent, WA
• Providers in Kent, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.