Individual
ALICIA BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
350 BEAVER KREEK CTR, NORTH LIBERTY, IA 52317-9237
(319) 626-8550
Mailing address
205 SADLER LN APT 202, NORTH LIBERTY, IA 52317-7901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
086219
IA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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