Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2844 | NE |
NPI | 1013598937 |
---|---|
Provider Name | Wendy Mcnear |
First Address | South Sioux City, NE 68776-3696 |
Second Address | South Sioux City, NE 68776-3696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2021 |
Last Update Date | 21/04/2021 |