Individual
ROBERT DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
820 S HIGHWAY 12, PONCA, NE 68770-3202
(402) 369-6070
Mailing address
820 S HIGHWAY 12, PONCA, NE 68770-3202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2811
NE
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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