Individual
LISA ANN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7561 MAIN STREET #402, RALSTON, NE 68127
(402) 699-9188
(402) 339-7955
Mailing address
7561 MAIN ST STE 402, RALSTON, NE 68127-3993
(402) 699-9188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2048
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-5285079
THERAPEUTIC MASSAGE THERAPY LLC
NE
Enumeration date
11/09/2018
Last updated
11/09/2018
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