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Amanda Faye Gogan
Massage Therapist in Salem, West Virginia
NPI 1154990166

Amanda Faye Gogan is a Massage Therapist based in Salem, WV. Amanda Faye Gogan practices in Salem, WV. The NPI Number for Amanda Faye Gogan is 1154990166 and holds a License No. 2019-3712 (West Virginia).

The current practice location address for Amanda Faye Gogan is 195 W Main St, Salem, WV and can be reached out via phone at 304-871-3053.

Location: 195 W Main St, Salem, WV, 26426-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154990166
Provider Name
Amanda Faye Gogan
Credential
Provider Entity Type
Individual
Gender
Female
Address
195 W Main St, Salem, WV, 26426-1229
Phone Number
304-871-3053
Fax Number
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 W Main St
City
Salem
State
West Virginia
Zip
26426-1229
Phone Number
304-871-3053
Fax Number
person
Provider Business Mailing Address Details
Address
195 W Main St
City
Salem
State
West Virginia
Zip
26426-1229
Phone Number
304-871-3053
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2019-3712 (West Virginia)
Definition
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.
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