Kelly H. Hanneman, L.M.T

NPI #1942752605 in Omaha, Nebraska

Provider Information

NPI Number: 1942752605
Entity Type: Individual
Name: Kelly H. Hanneman, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: L.M.T
Enumeration Date: Oct 28, 2016
Last Updated: Oct 28, 2016

Practice Location

Address: 3015 S 119TH ST
City: Omaha
State: Nebraska
ZIP Code: 68144-4513
Phone: (402) 490-4086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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