Individual
JENNIFER FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
Mailing address
9143 W DALTON PL, BOISE, ID 83704-3275
(509) 994-4555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3762
ID
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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