Individual
MRS. BRENDA N ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 MEDICAL CENTER DR, CARDIOLOGY SUITE, POWDERLY, KY 42367-5463
(270) 338-9830
(270) 338-6874
Mailing address
PO BOX 97, POWDERLY, KY 42367-0097
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-0836
KY
Other
Enumeration date
05/28/2009
Last updated
04/29/2010
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