Individual
NICKIE BONAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1710 N 144TH ST, SUITE B, OMAHA, NE 68154-4715
(402) 237-9110
Mailing address
11698 MEREDITH AVE, OMAHA, NE 68164-2226
(402) 237-9110
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
3033
NE
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
3033
NE
Other
Enumeration date
08/02/2013
Last updated
08/08/2013
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