Individual
ETHAN HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
145 S 56TH ST STE A, LINCOLN, NE 68510-2100
(402) 202-9457
Mailing address
1001 ANTHONY LN, LINCOLN, NE 68520-1250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3417
NE
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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