Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA NICOLE BOUNTHANOM
Active Sole ProprietorOLIVIA NICOLE BOUNTHANOM is a Massage Therapist healthcare provider located in JBER, Alaska. NPI 1235642034 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · JBER, AK
Registration Details
- NPI Number
- 1235642034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2017 (8.5629173963175 yrs)
- Last Updated
- Nov 15, 2017
- License
-
118100 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4110 BULLARD AVE UNIT BJBER, AK, 995061406Browse AK providers · Browse ZIP 99506
- Phone
- 9073518383
- Fax
- 9073518383
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in JBER, AK
| Name | Credential | NPI |
|---|---|---|
| MICHAEL MACY | LMT | 1851788301 |
| ERIN BEASON | — | 1942853684 |
| RHIANNON ECHEVERRIA | LMT | 1164203824 |
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.