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OLIVIA NICOLE BOUNTHANOM
NPI 1235642034
Massage Therapist in Jber, AK

Active since November 15, 2017
4110 BULLARD AVE UNIT B, JBER, AK 99506(907) 351-8383(907) 351-8383 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivia Nicole Bounthanom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA NICOLE BOUNTHANOM (NPI 1235642034) is an individual massage therapist in Jber, Alaska, licensed in Alaska (118100) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1235642034
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameOLIVIA NICOLE BOUNTHANOM
Location Address4110 BULLARD AVE UNIT BJber, AK 99506-1406
Mailing Address4110 Bullard Ave Unit BJber, AK 99506-1406 · (907) 351-8383
Phone(907) 351-8383
Fax(907) 351-8383
Sole ProprietorYes
Enumeration DateNovember 15, 2017
✔ NPI 1235642034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in AK · 118100
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
4110 BULLARD AVE UNIT B, Jber, AK 99506
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Bounthanom's NPI number?

The NPI number for Olivia Bounthanom is 1235642034. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Olivia Bounthanom located?

Olivia Bounthanom practices at 4110 Bullard Ave Unit B, Jber, AK 99506. The listed phone number is (907) 351-8383.

What is Olivia Bounthanom's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Olivia Bounthanom was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.