Individual provider · Type 1 NPI
Yong Sun Bolton, MASSAGE THERAPIST
Massage Therapist · Anchorage, AK
NPI number
1649539347
Active
Practice location
4050 Lake Otis Pkwy Ste 201B
Anchorage, AK 99508-5223
Fax (907) 334-1015
Mailing address
11620 Brook Hill Ct
Anchorage, AK 99516-1969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MAT:12513 (HI) |
| Massage Therapist Primary | 225700000X | 101896 (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.
Another provider at this address
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About NPI 1649539347
Yong Sun Bolton, MASSAGE THERAPIST's National Provider Identifier is 1649539347, issued on May 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Oct 27, 2023.