| Doctor Name: | CAROLYN FONYO BOGGESS |
| NPI Number: | 1013258847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT |
| License Number: | 16829 |
| Business Practice Address: | 111 Nw 2nd St Corvallis, OR - 973304700 |
| Business Phone Number: | 5417604196 |
| Business Fax Number: | |
| Mailing Address: | 3590 Nw Glenridge Dr, CORVALLIS |
| State: | OR |
| Postal Code: | 973303212 |
| Phone Number: | 5417604196 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172M00000X |
| License Number: | 16829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Mechanotherapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |