Individual provider · Type 1 NPI

Karla Diane Boggs, LMT

Massage Therapist · Independence, KY

NPI number 1366769440 Active

Practice location

1922 Walton Nicholson Pike
Independence, KY 41051-7901

Mailing address

7101 Manderlay Dr
Florence, KY 41042-2623

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-3465 (KY)
Massage Therapist 225700000X33.017830 A-B (OH)

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 1366769440

Karla Diane Boggs, LMT's National Provider Identifier is 1366769440, issued on Apr 28, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Independence, KY. The record was last updated on Apr 28, 2010.