Amanda Faye Gogan

NPI #1154990166 in Salem, West Virginia

Provider Information

NPI Number: 1154990166
Entity Type: Individual
Name: Amanda Faye Gogan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jun 23, 2021
Last Updated: Apr 6, 2022

Practice Location

Address: 195 W MAIN ST
City: Salem
State: West Virginia
ZIP Code: 26426-1229
Phone: (304) 871-3053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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