Individual
TRACI ANN PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1542 HAWTHORNE AVE, CRETE, NE 68333-1627
(402) 826-2008
Mailing address
1542 HAWTHORNE AVE, CRETE, NE 68333-1627
(402) 826-2008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
922
NE
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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