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NPI Profile for GLYNN J BOGARD in CORPUS CHRISTI, TX.
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI # | 1861875148 |
|
| Status | Active | |
| Credentials | LMT (Licensed Massage Therapist) | |
| Entity | Individual | |
| Enumeration date | 07/03/2015 | |
| Last updated | 07/03/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLYNN J BOGARD
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GLYNN J BOGARD, LMT