Individual
TERRY JOHN VAN GELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1216 HOWARD ST, OMAHA, NE 68102-2819
(402) 880-0325
Mailing address
2705 VANDENBERG AVE, BELLEVUE, NE 68123-1743
(402) 880-0325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3390
NE
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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