Individual provider · Type 1 NPI

Eravanh Boutsomsi, LMT

Massage Therapist · Anchorage, AK

NPI number 1023247491 Active

Practice location

7731 E Northern Lights Blvd, Suite 220
Anchorage, AK 99504-3554

Call (907) 727-2720 Map

Fax (907) 332-1490

Mailing address

PO Box 210856
Anchorage, AK 99521-0856

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X931555 (AK)

Massage Therapist: 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.

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About NPI 1023247491

Eravanh Boutsomsi, LMT's National Provider Identifier is 1023247491, issued on Jul 7, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Jul 7, 2009.