Individual provider · Type 1 NPI
Rae Nadeen Boggs, LMP
Massage Therapist · Chewelah, WA
NPI number
1255462941
Active
Practice location
301 E Clay Ave Ste 220
Chewelah, WA 99109-8936
Fax (509) 935-4026
Mailing address
PO Box 565
Chewelah, WA 99109-0565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA6188 (WA) |
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 1255462941
Rae Nadeen Boggs, LMP's National Provider Identifier is 1255462941, issued on Mar 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chewelah, WA. The record was last updated on Jul 8, 2007.