Individual
MR. JOSEPH STANLEY FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
7111 STEPHANIE LN, LINCOLN, NE 68516-5300
(402) 420-0003
Mailing address
7111 STEPHANIE LN, LINCOLN, NE 68516-5300
(402) 420-0003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1773
NE
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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