Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 507 | NE |
NPI | 1003001926 |
---|---|
Provider Name | Craig Patrick Seina |
First Address | Omaha, NE 68124-2056 |
Second Address | Omaha, NE 68124-2056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 13/09/2007 |