Organization
NORHE EXTENSIONS SALON MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CLARK L.M.T. (OWNER)
(402) 525-7467
Entity
Organization
Contact information
Practice address
111 N 56TH ST, STE 150, LINCOLN, NE 68504-3583
(402) 525-7467
Mailing address
111 N 56TH ST, STE 150, LINCOLN, NE 68504-3583
(402) 525-7467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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