Individual
MRS. KENDRA AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12040 MCDERMOTT PLZ STE 320, LA VISTA, NE 68128-2354
(402) 871-8469
(402) 597-2869
Mailing address
8825 S 117TH ST, LA VISTA, NE 68128-5567
(402) 871-8469
(402) 597-2869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3340
NE
Other
Enumeration date
12/04/2017
Last updated
10/03/2019
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