Individual provider · Type 1 NPI
Kendra Amidon, LMT
Massage Therapist · La Vista, NE
NPI number
1487169116
Active
Practice location
12040 Mcdermott Plz Ste 320
La Vista, NE 68128-2354
Fax (402) 597-2869
Mailing address
8825 S 117th St
La Vista, NE 68128-5567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 3340 (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.
Other massage therapist providers in La Vista
About NPI 1487169116
Kendra Amidon, LMT's National Provider Identifier is 1487169116, issued on Dec 4, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Vista, NE. The record was last updated on Oct 3, 2019.