NPI 1942752605

Kelly H. Hanneman, LMT

Practitioner Mechanotherapist Omaha, NE

Practice location

Address: 3015 S 119th St, Omaha, NE 68144-4513
Phone: (402) 490-4086
Mailing address: 3015 S 119th Street, Omaha, NE 68144

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 2002 (NE)

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Registry record

NPI: 1942752605
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2016
Record last updated: 28 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.