Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia Nicole Bounthanom

Individual provider Massage Therapist · NPI 1235642034

Olivia Nicole Bounthanom is a Massage Therapist in Jber, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2017
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Practice location Address checks out

4110 Bullard Ave Unit B
Jber, AK 99506-1406
Phone: (907) 351-8383
Fax: (907) 351-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 118100 (AK)

Record details

NPI number1235642034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 15, 2017

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