Healthcare Provider Details

I. General information

NPI: 1326843558
Provider Name (Legal Business Name): OYUNTSETSEG OLOMBAYAR CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 CHAIN BRIDGE RD STE 202-204
MC LEAN VA
22101-5726
US

IV. Provider business mailing address

1493 CHAIN BRIDGE RD STE 202-204
MC LEAN VA
22101-5726
US

V. Phone/Fax

Practice location:
  • Phone: 571-332-9860
  • Fax: 703-686-5784
Mailing address:
  • Phone: 571-332-9860
  • Fax: 703-686-5784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: