Individual
MR. THOMAS JEFFREY MENDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,NCTMB
Contact information
Practice address
9905 SAPP BROTHERS DR, OMAHA, NE 68138-3951
(402) 214-4055
Mailing address
9905 SAPP BROTHERS DR, OMAHA, NE 68138-3951
(402) 214-4055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2072
NE
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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