Arvilla Ruth Bogucki, CMT
Individual provider Active NPI Massage Therapist · Osceola, IN
NPI 1801065735 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1801065735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 602 W Adams
Osceola, IN 46561-2611 - Phone
- (574) 674-4258
- NPI assigned
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
602 W Adams
Osceola, IN 46561-2611
Mailing address
602 W Adams
Osceola, IN 46561-2611
Phone (574) 674-4258
Other providers in Osceola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.