IndividualActive
Kendra Amidon, LMT
NPI 1487169116 · Massage Therapist · La Vista, NE
Provider details
- NPI number
- 1487169116
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3340 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12040 Mcdermott Plz Ste 320
La Vista, NE 68128-2354
Phone: (402) 871-8469
Fax: (402) 597-2869
Approximate (ZIP-level) locationGet directions
Mailing address
8825 S 117th St
La Vista, NE 68128-5567
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.