Individual
LAURA THELANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 S 158TH PLZ, OMAHA, NE 68130-1704
(402) 250-7903
Mailing address
2604 S 158TH PLZ, OMAHA, NE 68130-1704
(402) 250-7903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3416
NE
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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