Individual
BREANNA MICHELLE QUIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11932 ARBOR ST STE 100, OMAHA, NE 68144-2986
(402) 490-0096
Mailing address
1713 COLE CREEK DR, OMAHA, NE 68114-1640
(402) 779-1802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3115
NE
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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