Alicia Bogard, LMT

NPI #1750818829 in North Liberty, Iowa

Provider Information

NPI Number: 1750818829
Entity Type: Individual
Name: Alicia Bogard, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 18, 2017
Last Updated: May 18, 2017

Practice Location

Address: 350 BEAVER KREEK CTR
City: North Liberty
State: Iowa
ZIP Code: 52317-9237
Phone: (319) 626-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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