Individual
TANYA LYNN BROADFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2610 2ND AVE, KEARNEY, NE 68847-4417
(308) 293-7423
Mailing address
2610 2ND AVE, KEARNEY, NE 68847-4417
(308) 293-7423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1725
NE
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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