Individual provider · Type 1 NPI

Jennifer Fogle

Massage Therapist · Boise, ID

NPI number 1073456786 Active

Practice location

5909 W State St
Boise, ID 83703-3039

Call (208) 343-7700 Map

Mailing address

9143 W Dalton Pl
Boise, ID 83704-3275

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-3762 (ID)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1073456786

Jennifer Fogle's National Provider Identifier is 1073456786, issued on Apr 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Apr 9, 2026.