Search › Pennsylvania › 2255A2300X
Tommy Souriyavong, ATC,LAT
NPI 1477487221 · on the registry since 2026
Practice
- Address
- 110 Bubernak Blvd
Old Forge, PA 18518 - Phone
- (570) 540-1178
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2026-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania