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NPI Code Detail

MEDICARE: DANIELLE BREE OLSEN

MEDICARE: DANIELLE BREE OLSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist8350215-4701UT

General Provider Information

NPI Number : 1649044140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BREE OLSEN
Provider Business Mailing Address
First Line : 563 APPLEWOOD DR
Second Line :
City : BOUNTIFUL
State : UT
Zip : 84010-7971
Country : US
Telephone Number : 801-898-0418
Fax Number :
Provider Business Practice Location Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-528-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 11/14/2023

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Directions to “ DANIELLE BREE OLSEN ” Practice Location

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