MR. Scott Gould Kingphavong, LMT is a massage therapist in Oak Forest, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Scott Gould Kingphavong, LMT NPI is 1710333638. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5936 ESSEX RD
OAK FOREST, IL
ZIP 60452-824
Phone: (779) 774-5493
The enumeration date for this NPI number is 5/10/2016 and was last updated on 10/1/2020.