Individual provider · Type 1 NPI

Lynette A. Ivanov

Massage Therapist · Lincoln, NE

NPI number 1083523450 Active

Practice location

4535 Normal Blvd Ste 132
Lincoln, NE 68506-2891

Call (402) 525-1423 Map

Mailing address

4500 Lowell Ave
Lincoln, NE 68506-4925

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1076 (NE)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1083523450

Lynette A. Ivanov's National Provider Identifier is 1083523450, issued on Sep 2, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lincoln, NE. The record was last updated on Sep 2, 2026.