Individual provider · Type 1 NPI
Mary Lynette Vaughan, L.M.T.
Massage Therapist · Omaha, NE
NPI number
1871797506
Active
Practice location
6160 Lafayette Ave
Omaha, NE 68132-1236
Mailing address
1010 S. 31st Street
Omaha, NE 68105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2149 (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 1871797506
Mary Lynette Vaughan, L.M.T.'s National Provider Identifier is 1871797506, issued on Jun 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.