Provider Demographics
NPI:1659039865
Name:SUEING, PASHAN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:PASHAN
Middle Name:
Last Name:SUEING
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 E BELL RD STE 101 PMB #262
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2726
Mailing Address - Country:US
Mailing Address - Phone:480-848-4704
Mailing Address - Fax:
Practice Address - Street 1:1130 E MISSOURI AVE STE 720
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4382
Practice Address - Country:US
Practice Address - Phone:615-625-5873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-28076225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist