Organization
PURE MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI L HEIN LMT (OWNER/ LICENSED MASSAGE THERAPIST)
(402) 980-3657
Entity
Organization
Contact information
Practice address
PURE MASSAGE, LLC, 11316 DAVENPORT ST, OMAHA, NE 68154
(402) 980-3657
Mailing address
513 N 9TH ST, MISSOURI VALLEY, IA 51555-1207
(402) 980-3657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094565
IOWA BOARD OF MASSAGE THERAPY
IA
01
—
2372
NEBRASKA BOARD OF MASSAGE THERAPY
NE
Enumeration date
05/21/2020
Last updated
05/21/2020
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