Individual
WYATT A LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
360 N 114TH ST, OMAHA, NE 68154-2517
(402) 812-6286
Mailing address
14809 S 23RD ST, BELLEVUE, NE 68123-4702
(402) 812-6286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2449
NE
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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