Individual
LAURA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4649 S 136TH ST, OMAHA, NE 68137-1101
(402) 499-9702
Mailing address
1306 CEDARWOODS DR, PAPILLION, NE 68046-4730
(402) 499-9702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3586
NE
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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