Ellis, Kristi S
Ellis, Kristi S is an sole proprietor health care provider with primary practice located at 15811 W Dodge Rd Ste 152 , Omaha NE 68118-4013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ellis, Kristi S can be contacted via phone (402) 578-1023.Contact Information
Primary practice address
15811 W Dodge Rd Ste 152
Omaha NE 68118-4013
Phone: (402) 578-1023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1452 | Nebraska |
Profile Details
| NPI number | 1063923910 |
|---|---|
| LBN Legal business name | Ellis, Kristi S |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2017 |
| Last updated | Jan 3rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063923910 | NPPES |
| Nebraska | Other | 1452 | MASSAGE THERAPY LICENSE |
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