Individual
KATIE ELIZABETH ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11610 OUR PEAK RD, FORESTVILLE, CA 95436-9445
(707) 357-1797
Mailing address
11610 OUR PEAK RD, FORESTVILLE, CA 95436-9445
(707) 357-1797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28392
CA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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