| Olivia Nicole Bounthanom, | |
|
4110 Bullard Ave Unit B, Jber, AK 99506-1406 | |
| (907) 351-8383 | |
| (907) 351-8383 |
| Full Name | Olivia Nicole Bounthanom |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 4110 Bullard Ave Unit B, Jber, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235642034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 118100 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Nicole Bounthanom, 4110 Bullard Ave Unit B, Jber, AK 99506-1406 Ph: (907) 351-8383 | Olivia Nicole Bounthanom, 4110 Bullard Ave Unit B, Jber, AK 99506-1406 Ph: (907) 351-8383 |
Tiana Freeman, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5940 Goodwin Ave Unit D, Jber, AK 99506 Phone: 715-415-1925 | |
Michael Macy, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-5880 | |
Erin Beason, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6955 Campos Ave Unit A, Jber, AK 99506 Phone: 757-650-8727 |