Individual
MS. KRISTI S ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15811 W DODGE RD STE 152, OMAHA, NE 68118-4013
(402) 578-1023
Mailing address
15811 W DODGE RD STE 152, OMAHA, NE 68118-4013
(402) 578-1023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1452
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452
MASSAGE THERAPY LICENSE
NE
Enumeration date
10/18/2017
Last updated
01/03/2024
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