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Individual

MS. KARLA DIANE BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1922 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7901
(859) 363-1000
Mailing address
7101 MANDERLAY DR, FLORENCE, KY 41042-2623
(859) 322-2249

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
33.017830 A-B
OH
225700000X
Massage Therapist
Primary
KY-3465
KY

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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