Individual
BRIANA CUDLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1139 E 16TH ST, FREMONT, NE 68025-3230
(402) 690-3996
Mailing address
1139 E 16TH ST, FREMONT, NE 68025-3230
(402) 690-3996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1905
NE
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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