Individual
AUDREY RENEE BORGHEIINCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1233 N WEBB RD, GRAND ISLAND, NE 68803-3344
(308) 398-2255
Mailing address
1233 N WEBB RD, GRAND ISLAND, NE 68803-3344
(308) 398-2255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1843
NE
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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