Tanya Lynn Broadfoot, MASSAGE THERAPIST
Individual provider Active NPI Massage Therapist · Kearney, NE
NPI 1891291530 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1891291530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 1725 (NE)
- Practice address
- 2610 2ND Ave
Kearney, NE 68847-4417 - Phone
- (308) 293-7423
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1725 | NE | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 1725 | NE | Yes |
Addresses
Primary practice location
2610 2ND Ave
Kearney, NE 68847-4417
Mailing address
2610 2ND Ave
Kearney, NE 68847-4417
Phone (308) 293-7423
Other providers in Kearney, NE
- Bobbi Branch
- Aspen Brandich
- Amy D Brandt
- Julie Ann Brauer
- Brighter Day Health LLC
- Randi Nicole Broekemeier
- Carla A Brooke
- Shelisa Brooks
- Amber Brown
- Collin Michael Lockhart Brown
All providers in Kearney, NE · Massage Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.