MEDICARE: JENNIFER FOGLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MAS-3762	ID

General Provider Information

NPI Number	:	1073456786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER FOGLE

Provider Business Mailing Address
First Line	:	9143 W DALTON PL
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-3275
Country	:	US
Telephone Number	:	509-994-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 W STATE ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-3039
Country	:	US
Telephone Number	:	208-343-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1407887623 — MS. KRISTINA J HARRINGTON MD
Practice Location Address:

5985 W STATE ST
BOISE, ID
83703-3039

Practice Phone: 208-853-0071
Practice Fax: 208-853-9422

1912922139 — MS. LINDA JEAN LESTER M.S.W.
Practice Location Address:

5999 W STATE ST , STE B
BOISE, ID
83703-3039

Practice Phone: 208-853-5095
Practice Fax: 208-853-5125

1891878484 — DR. BROCK KEITH BOHLMAN D.D.S
Practice Location Address:

5993 W STATE ST STE B
BOISE, ID
83703-3039

Practice Phone: 208-384-0577
Practice Fax:

1255418539 — JANET STRONG NP
Practice Location Address:

5985 W STATE ST
BOISE, ID
83703-3039

Practice Phone: 208-853-0071
Practice Fax: 208-853-9422

1013094309 — RACHEL JESSEN LCSW
Practice Location Address:

5985 W STATE ST
BOISE, ID
83703-3039

Practice Phone: 208-853-0071
Practice Fax: 208-853-9422

1083767131 — MS. KATHY MATLOCK TIDWELL LCSW
Practice Location Address:

5999 W STATE ST STE B
BOISE, ID
83703-3039

Practice Phone: 208-853-5095
Practice Fax: 208-853-5125

Directions to “ JENNIFER FOGLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.