Individual provider · Type 1 NPI

Jennifer Bogen

Massage Therapist · Fremont, MI

NPI number 1265974752 Active

Practice location

106 S Stewart Ave
Fremont, MI 49412-1624

Fax (231) 924-3443

Mailing address

8054 Meinert Park Rd
Montague, MI 49437-8708

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501008414 (MI)

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 1265974752

Jennifer Bogen's National Provider Identifier is 1265974752, issued on Nov 15, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fremont, MI. The record was last updated on Nov 15, 2016.