Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANTISOUK PROUGH, CMT
Active Sole ProprietorSANTISOUK PROUGH, CMT is a 163WM1400X healthcare provider located in PEORIA, Arizona. NPI 1306691449 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · PEORIA, AZ
Registration Details
- NPI Number
- 1306691449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2024 (2.2789326948291 yrs)
- Last Updated
- Feb 4, 2026
- License
-
MT (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8278 W LAKE PLEASANT PKWYPEORIA, AZ, 853827441Browse AZ providers · Browse ZIP 85382
- Phone
- 5103845817
- Primary Specialty
-
163WM1400X
163WM1400X
Other 163WM1400X Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| AMANDA RASHID | BSN, RN | 1083338974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.