Individual
DANIELLE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8090
(907) 376-1234
Mailing address
3060 N LAZY EIGHT CT STE 2, WASILLA, AK 99654-4392
(907) 354-1084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
176099
AK
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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