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NPI Code Detail

MEDICARE: MS. KAREN LOUISE ROGERS LMT

MEDICARE: MS. KAREN LOUISE ROGERS LMT
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
1225700000XMassage Therapist391MT

General Provider Information

NPI Number : 1245545870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN LOUISE ROGERS LMT
Provider Business Mailing Address
First Line : PO BOX 8616
Second Line :
City : KALISPELL
State : MT
Zip : 59904-1616
Country : US
Telephone Number : 406-270-3847
Fax Number :
Provider Business Practice Location Address
First Line : 103 PONDEROSA LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-6833
Country : US
Telephone Number : 406-270-3847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2010
Last Update Date : 08/06/2010

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