Carolyn Fonyo Boggess, LMT

NPI #1013258847 in Corvallis, Oregon

Provider Information

NPI Number: 1013258847
Entity Type: Individual
Name: Carolyn Fonyo Boggess, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Mar 4, 2013
Last Updated: Mar 4, 2013

Practice Location

Address: 111 NW 2ND ST
City: Corvallis
State: Oregon
ZIP Code: 97330-4700
Phone: (541) 760-4196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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