Rae Nadeen Boggs, LMP

NPI #1255462941 in Chewelah, Washington

Provider Information

NPI Number: 1255462941
Entity Type: Individual
Name: Rae Nadeen Boggs, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 301 E CLAY AVE STE 220
City: Chewelah
State: Washington
ZIP Code: 99109-8936
Phone: (509) 935-7303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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