Sophanarith Am, is a
Massage Therapist based in Marblehead, Massachusetts. Sophanarith Am is licensed to practice in Massachusetts (license number 17833) and his current practice location is
50 Doaks Ln, Marblehead, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 420-2041.
NPI number for Sophanarith Am is 1295521714 and his current mailing address is 9 Victoria St, Revere, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295521714.
Healthcare Provider's Profile
| Full Name | Sophanarith Am |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 50 Doaks Ln, Marblehead, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295521714
- Provider Enumeration Date: 04/21/2025
- Last Update Date: 04/21/2025
Medical Identifiers
Medical identifiers for Sophanarith Am such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295521714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 17833 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophanarith Am is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophanarith Am,
9 Victoria St,
Revere, MA 02151-3911
Ph: Not Available | Sophanarith Am,
50 Doaks Ln,
Marblehead, MA 01945-3584
Ph: (617) 420-2041 |
Reviews and Comments