MR. GLYNN JORDAN BOGARD LMT NPI 1861875148

NPI Information

NPI: 1861875148
Provider Name: MR. GLYNN JORDAN BOGARD, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
9929 S PADRE ISLAND DR STE 113
CORPUS CHRISTI, TX
ZIP 78418
Phone: (361) 937-5508
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MR. Glynn Jordan Bogard, LMT is a massage therapist in Corpus Christi, TX. The provider is 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. MR. Glynn Jordan Bogard, LMT NPI is 1861875148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9929 S PADRE ISLAND DR STE 113
CORPUS CHRISTI, TX
ZIP 78418-148
Phone: (361) 937-5508

The enumeration date for this NPI number is 7/3/2015 and was last updated on 7/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		122096	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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